Individual
MICHAEL JOHN RENSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
752 MEDICAL CENTER CT, SUITE 101, CHULA VISTA, CA 91911
(619) 482-0565
(619) 482-2775
Mailing address
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101, LA MESA, CA 91942
(619) 464-3353
(619) 464-6720
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G20200
CA
Other
Enumeration date
07/08/2006
Last updated
04/15/2013
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