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Renaissance Medical Spa, Llc
Primary Care Clinic/Center in Seymour, Indiana
NPI 1043357726

Renaissance Medical Spa, Llc is a Primary Care Clinic/Center based in Seymour, IN and is specialized in Primary Care. Renaissance Medical Spa, Llc practices in Seymour, IN. The NPI Number for Renaissance Medical Spa, Llc is 1043357726 and holds a License No. 01047137 (Indiana).

The current practice location address for Renaissance Medical Spa, Llc is 1414 E Tipton St, Seymour, IN and can be reached out via phone at 812-524-9222 and via fax at 812-524-9777.

Location: 1414 E Tipton St, Seymour, IN, 47274-3533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043357726
Provider Name
Renaissance Medical Spa, Llc
Credential
Provider Entity Type
Organization
Address
1414 E Tipton St, Seymour, IN, 47274-3533
Phone Number
812-524-9222
Fax Number
812-524-9777
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
067386 01 IN SIHO
000000352813 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
1414 E Tipton St
City
Seymour
State
Indiana
Zip
47274-3533
Phone Number
812-524-9222
Fax Number
812-524-9777
person
Provider Business Mailing Address Details
Address
1414 E Tipton St
City
Seymour
State
Indiana
Zip
47274-3533
Phone Number
812-524-9222
Fax Number
812-524-9777
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
01047137 (Indiana)
Definition
Definition to come...
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