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Brock Michael Renken
Student in an Organized Health Care Education/Training Program in Sperry, Oklahoma
NPI 1821725615

Brock Michael Renken is a Student in an Organized Health Care Education/Training Program based in Sperry, OK. Brock Michael Renken practices in Sperry, OK. The NPI Number for Brock Michael Renken is 1821725615 and holds a License No. (Oklahoma).

The current practice location address for Brock Michael Renken is 9718 N 44Th East Ave, Sperry, OK and can be reached out via phone at 417-499-2646.

Location: 9718 N 44Th East Ave, Sperry, OK, 74073-4545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821725615
Provider Name
Brock Michael Renken
Credential
Provider Entity Type
Individual
Gender
Male
Address
9718 N 44Th East Ave, Sperry, OK, 74073-4545
Phone Number
417-499-2646
Fax Number
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9718 N 44Th East Ave
City
Sperry
State
Oklahoma
Zip
74073-4545
Phone Number
417-499-2646
Fax Number
person
Provider Business Mailing Address Details
Address
9718 N 44Th East Ave
City
Sperry
State
Oklahoma
Zip
74073-4545
Phone Number
417-499-2646
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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