Individual
ROBERT MARTIN RENNEBOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE CRILE BLDG. DESK AIII, CLEVELAND CLINIC, CLEVELAND, OH 44195
(216) 445-6626
(216) 445-3797
Mailing address
9500 EUCLID AVE CRILE BLDG. DESK AIII, CLEVELAND CLINIC, CLEVELAND, OH 44195
(216) 445-6626
(216) 445-3797
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
35047209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105434000
—
WV
05
—
0478531
—
OH
05
—
64789407
—
KY
Enumeration date
09/27/2005
Last updated
08/03/2012
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