Individual
DR. MICHAEL L REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 530, LITTLE ROCK, AR 72205-7101
(501) 686-6564
Mailing address
4301 W MARKHAM ST # 530, LITTLE ROCK, AR 72205-7101
(501) 686-6564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
338674
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2020
Last updated
10/26/2023
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