Individual
RENATA M JENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1919 KINGSBROOK CT, WHEATON, IL 60187-3199
(425) 445-1112
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036148052
IL
207N00000X
Dermatology Physician
87033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296575
L&I
WA
05
—
1700848462
—
WA
Enumeration date
04/06/2006
Last updated
03/04/2026
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