Individual
DR. PATRICK A RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6707 POWERS BLVD, SUITE 100, PARMA, OH 44129-5455
(440) 886-1247
(440) 886-5763
Mailing address
PO BOX 72064, CLEVELAND, OH 44192-0002
(440) 808-3700
(440) 808-3675
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35066859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0998167
—
OH
Enumeration date
09/23/2006
Last updated
12/04/2020
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