Individual
GERALYNN RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
1775 DEMPSTER, PARK RIDGE, IL 60068
(847) 723-7624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54613
CT
Other
Enumeration date
11/07/2006
Last updated
11/20/2017
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