Individual
JONATHAN LEE RENSLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY BLDG 10TH, SEATTLE, WA 98122-4379
(206) 215-4253
Mailing address
1000 MINOR AVE APT 1106, SEATTLE, WA 98104-1392
(310) 961-6462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MDRE.ML.61683253
WA
Other
Enumeration date
03/28/2025
Last updated
06/20/2025
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