Individual
RENEE C LASSILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 EAST CENTRE AVE, PORTAGE, MI 49002
(269) 286-7050
(269) 286-7051
Mailing address
5943 STADIUM DR, STE 3, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301065740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3214207
—
MI
Enumeration date
06/24/2006
Last updated
11/27/2023
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