Heath Russell Renner, PA-C
NPI #1285645044 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1285645044
- Entity Type
- Individual
- Name
- Heath Russell Renner, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 3366 OAKDALE AVE N
- Address 2
- SUITE 103
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422-2948
- Phone
- (763) 520-7870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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