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Contact Information

CLARISSA J RENKEN, DO
2720 PLAZA DR
SUITE 1300
WAUSAU, WI54401-4158
 Phone: 715-847-2630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CLARISSA J RENKEN · (Female)

NPI Number 1861636375
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/28/2009
Last updated 06/20/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
WI License # 54752-21
Hospital affiliation(s)
  • ASPIRUS WAUSAU HOSPITAL - (Acute Care)
    333 PINE RIDGE BLVD
    WAUSAU, WI 54401
  • LANGLADE HOSPITAL - (Critical Access)
    112 E FIFTH ST
    ANTIGO, WI 54409
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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