Individual
MR. DANE RENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
134 E MARKET ST, BLAIRSVILLE, PA 15717-1326
(724) 459-5101
Mailing address
142 W CHESTNUT ST, BLAIRSVILLE, PA 15717-1223
(814) 688-4206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004514
PA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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