Individual
ELIZABETH RENAKER-JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
340 W LINCOLN ST, SUITE 500, BELLEVILLE, IL 62220-1900
(618) 277-7400
(618) 277-7422
Mailing address
340 W LINCOLN ST, SUITE 500, BELLEVILLE, IL 62220-1900
(618) 277-7400
(618) 277-7422
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036141213
IL
208600000X
Surgery Physician
5101017812
MI
Other
Enumeration date
08/15/2008
Last updated
09/22/2016
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