Provider Demographics
NPI:1881972305
Name:BRINDISE, RENATA TRELA (DO)
Entity type:Individual
Prefix:DR
First Name:RENATA
Middle Name:TRELA
Last Name:BRINDISE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:2601 COMPASS RD STE 125
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8089
Practice Address - Country:US
Practice Address - Phone:847-843-3376
Practice Address - Fax:847-998-8631
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2024-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101019182207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology