Individual
GERARD HENDRIK VANRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5351
(910) 254-2023
(910) 254-0242
Mailing address
1801 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5351
(910) 254-2023
(910) 254-0242
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
19231
SC
207W00000X
Ophthalmology Physician
Primary
9701180
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
9701180
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013115
BCBS
NC
01
—
1108H
BCBS
NC
01
—
180038152
RR MEDICARE
—
05
—
192311
—
SC
05
—
790129C
—
NC
05
—
891108H
—
NC
05
—
QPA675
—
SC
Enumeration date
01/13/2006
Last updated
07/13/2017
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