Heath Russell Renner, PA-C
Physician Assistant in Robbinsdale, MN. Individual provider (NPI-1).
NPI number1285645044
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1285645044
- Entity type
- Individual (NPI-1)
- Name
- Heath Russell Renner
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2006
- Last updated
- Jul 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9757 | MN | Yes |
Practice location
3366 Oakdale Ave NSuite 103
Robbinsdale, MN 55422-2948
Phone 763-520-7870 · Fax 763-520-7580
Mailing address
6465 Wayzata BlvdSuite 900
St Louis Park, MN 55426-1728
Phone 952-512-5600 · Fax 952-512-5650
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All 46 Physician Assistant providers in Robbinsdale · All 874 providers in Robbinsdale
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