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Individual

DR. JOHN MICHAEL RENNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3031 TISCH WAY, STE 400, SAN JOSE, CA 95128-2541
(408) 244-2100
(408) 244-6596
Mailing address
3031 TISCH WAY, STE 400, SAN JOSE, CA 95128-2541
(408) 244-2100
(408) 244-6596

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G16780
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G167800
CA
Enumeration date
06/11/2006
Last updated
11/26/2008
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