Individual
DR. RENNER S ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4500
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24434
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699503900
—
MN
Enumeration date
12/26/2005
Last updated
10/20/2011
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