Organization
RENEW HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH KIRSCHER NP-C (OWNER)
(704) 310-1175
Entity
Organization
Contact information
Practice address
18805 W CATAWBA AVE STE 100, CORNELIUS, NC 28031-4608
(704) 612-0011
Mailing address
18805 W CATAWBA AVE STE 100, CORNELIUS, NC 28031-4608
(704) 612-0011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
02/18/2021
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