Organization
MICHAEL T. RENDLER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T RENDLER M.D. (OWNER)
(719) 545-3555
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71871853
—
CO
Enumeration date
04/07/2010
Last updated
08/19/2010
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