Organization · Type 2 NPI

Renu Longevity PC

Multi-Specialty Clinic/Center · Bismarck, ND

NPI number 1104747302 Active

Practice location

517 S 5th St
Bismarck, ND 58504-5702

Call (701) 751-2229 Map

Fax (701) 829-7158

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1104747302

Renu Longevity PC's National Provider Identifier is 1104747302, issued on Jul 23, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Bismarck, ND. The record was last updated on Jul 23, 2026.