Individual
DR. STEFAN RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Mailing address
706 SUMMIT CROSSING PL, GASTONIA, NC 28054-2175
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
201001601
NC
207X00000X
Orthopaedic Surgery Physician
AB3102516-3183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC1229
—
SC
Enumeration date
05/08/2007
Last updated
01/04/2012
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