Organization
FERNANDEZ RENNER & SCAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE CROCKER (BUSINESS MANAGER)
(330) 492-1222
Entity
Organization
Contact information
Practice address
4426 WHIPPLE AVE NW, CANTON, OH 44718-2646
(330) 492-1222
(330) 492-1382
Mailing address
4426 WHIPPLE AVE NW, CANTON, OH 44718-2646
(330) 492-1222
(330) 492-1382
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469756
—
OH
05
—
2843052
—
OH
01
—
CM0529
MEDICARE ID TYPE UNSPEC
OH
Enumeration date
04/03/2006
Last updated
10/15/2008
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