Individual
LINDSEY AILEEN RENKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10060 BOULDER PASS, DAVISBURG, MI 48350-2054
(248) 881-4793
Mailing address
10060 BOULDER PASS, DAVISBURG, MI 48350-2054
(248) 881-4793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2023
Last updated
05/10/2023
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