Individual
DR. STANLEY M RENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6150
(701) 323-5709
Mailing address
1844 BONN BLVD, BISMARCK, ND 58504-7017
(701) 258-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3800
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12787
—
ND
Enumeration date
06/12/2006
Last updated
08/28/2014
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