Individual
DR. WARREN RUSSELL RENSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2723 E BOULEVARD PLZ, WICHITA, KS 67211-3813
(316) 683-6732
Mailing address
2723 E BOULEVARD PLZ, WICHITA, KS 67211-3813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5851
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7851
BLUE CROSS BLUE SHIELD
KS
Enumeration date
12/06/2006
Last updated
07/08/2007
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