Individual
MICHAEL RENFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT-C, MA
Contact information
Practice address
5701 STILLWATER BLVD N, OAK PARK HEIGHTS, MN 55082-1030
(651) 351-8034
Mailing address
1006 COLONIAL DR, HUDSON, WI 54016-1938
(727) 776-5153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1517
SC
Other
Enumeration date
07/17/2014
Last updated
02/03/2025
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