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Individual

DAVID A RENKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
052838
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DR052838
BC/BS
MI
Enumeration date
06/10/2006
Last updated
12/16/2021
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