Individual
JOHN T RENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3050
(574) 647-1094
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01093006A
IN
207Q00000X
Family Medicine Physician
125.078700
IL
208M00000X
Hospitalist Physician
01093006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300092808
—
IN
Enumeration date
06/07/2021
Last updated
03/30/2026
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