Logan Renninger, PAC
NPI #1053159509 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1053159509
- Entity Type
- Individual
- Name
- Logan Renninger, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Jul 18, 2024
- Last Updated
- Aug 28, 2024
Practice Location
- Address
- 3300 OAKDALE AVE N
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422-2926
- Phone
- (763) 581-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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