Individual
MR. JONATHAN PAUL RENNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1701SOUTH BLD EAST, #110, ROCHESTER HILLS, MI 48307
(248) 853-4431
(248) 853-5048
Mailing address
1817 VINEWOOD, WYANDOTTE, MI 48192
(734) 752-5006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012445
MI
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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