Organization
RENARD FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J RENARD DPM (PRESIDENT)
(920) 882-9990
Entity
Organization
Contact information
Practice address
702 EISENHOWER DR STE A, KIMBERLY, WI 54136-2152
(920) 815-3096
(920) 882-9544
Mailing address
PO BOX 8031, APPLETON, WI 54912-8031
(866) 313-0337
(920) 224-1706
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
847-25
WI
Other
Enumeration date
09/16/2014
Last updated
10/06/2021
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