Individual
MR. DONALD LEE RENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-2187
Mailing address
1122 SYCAMORE LN, SPARTA, IL 62286-1052
(618) 443-6335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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