Individual
MR. ANDREW MICHAEL RENNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7529
Mailing address
608 E 7TH ST, APT B, ALTON, IL 62002-3614
(618) 791-3592
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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