Individual
MICHAEL T RENDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
401 MICHIGAN ST, PUEBLO, CO 81004-2138
(719) 545-3555
(719) 545-1517
Mailing address
401 MICHIGAN ST, PUEBLO, CO 81004-2138
(719) 545-3555
(719) 545-1517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20267
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386623403
PERSONAL NPI
CO
01
—
1528384161
BUSINESS NPI
CO
05
—
71871853
—
CO
Enumeration date
01/17/2006
Last updated
08/19/2010
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