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Individual

DR. CHAD TROY RENNIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(906) 235-9968
Mailing address
3072 13TH AVE N, FORT DODGE, IA 50501-8006
(906) 225-3864

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301102698
MI
207P00000X
Emergency Medicine Physician
Primary
ME151065
FL

Other

Enumeration date
06/24/2013
Last updated
09/27/2021
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