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Search › Alaska › 207Q00000X

Micah Renicker, MD

NPI 1528644424 · on the registry since 2021

Practice

Address
209 W Evergreen Ave
Palmer, AK 99645
Phone
(907) 861-1450
Organisation at this address
Mat-Su Valley Iii Llc
Mat-Su Valley Iii Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska