Provider Demographics
NPI:1962629873
Name:RENDER, ROBERT F (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:RENDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:4 COLUMBUS AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6478
Mailing Address - Country:US
Mailing Address - Phone:989-377-4477
Mailing Address - Fax:
Practice Address - Street 1:4 COLUMBUS AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6457
Practice Address - Country:US
Practice Address - Phone:989-377-4477
Practice Address - Fax:989-894-6181
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016981207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery