Individual
BROCK MICHAEL RENKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 FOUR STATES DR STE 1, GALENA, KS 66739-4325
(877) 783-4441
Mailing address
444 FOUR STATES DR STE 1, GALENA, KS 66739-4325
(877) 783-4441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-03048
KS
363A00000X
Physician Assistant
5478
OK
Other
Enumeration date
08/02/2022
Last updated
02/25/2025
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