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Organization

RENARD FOOT & ANKLE SPECIALIST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN J RENARD D.P.M. (OWNER)
(920) 882-9990
Entity
Organization

Contact information

Practice address
2005 S. LAKE PARK RD, APPLETON, WI 54915
(920) 882-9990
(920) 882-9544
Mailing address
2005 S. LAKE PARK RD, APPLETON, WI 54915
(920) 882-9990
(920) 882-9544

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
847-025
WI

Other

Enumeration date
01/04/2008
Last updated
03/03/2009
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