Individual
DEREK THOMAS RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7225
Mailing address
4425 ARVILLA RD, BENS RUN, WV 26146-7913
(304) 299-0925
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2021
Last updated
04/11/2021
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