| Renew Aesthetics Llc | |
| 1008 E University Dr Granger IN 46530 | |
| (574) 318-4148 | |
| Not Available | 
| Full Name | Renew Aesthetics Llc | 
|---|---|
| Speciality | Clinic/center | 
| Location | 1008 E University Dr, Granger, Indiana | 
| Authorized Official Name and Position | Philip Bemiller (OWNER) | 
| Authorized Official Contact | 5742066816 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Renew Aesthetics Llc 6220 N 300 E Leesburg IN 46538-9124 Ph: (574) 206-6816 | Renew Aesthetics Llc 1008 E University Dr Granger IN 46530 Ph: (574) 318-4148 | 
| NPI Number | 1720718331 | 
|---|---|
| Provider Enumeration Date | 06/15/2022 | 
| Last Update Date | 06/15/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720718331 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
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