Individual
LENORE ROSEMARY RENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E THIRD STREET, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 E THIRD STREET, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
60376-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
0116021757
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538395686
—
WI
Enumeration date
06/03/2009
Last updated
02/20/2019
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