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1922590298 NPI number — JAMES MICHAEL RENIER DPM

NPI Number: 1922590298
Health Care Provider/Practitioner: JAMES MICHAEL RENIER DPM

Information about “1922590298” NPI (JAMES MICHAEL RENIER DPM) exists in 1922590298 in HTML format HTML  |  1922590298 in plain Text format TXT  |  1922590298 in PDF (Portable Document Format) PDF  |  1922590298 in an XML format XML  formats.

NPI Number : 1922590298 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922590298",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RENIER",
    "FirstName": "JAMES",
    "MiddleName": "MICHAEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "106 DOCTORS PARK",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT CLOUD",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "56303-1207",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "320-251-5444",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "22201 MOROSS ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 250 PROFESSIONAL BUILDING 2",
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-343-3423",
    "PracticeLocationAddressFaxNumber": "313-343-3401",
    "EnumerationDate": "06/03/2018",
    "LastUpdateDate": "04/29/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "213ES0103X",
        "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
        "LicenseNumber": "1078",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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