Individual
JERE MICHEAL RENNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 VA CTR, TOGUS, ME 04330-6719
(207) 623-8411
Mailing address
14 SANDY RIVER RD, NEW SHARON, ME 04955-3312
(207) 778-9798
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
1640
ME
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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