Individual
GEORGE BRIAN RENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11850 BLACKFOOT ST NW STE 450, COON RAPIDS, MN 55433-2773
(763) 236-0800
(763) 236-0910
Mailing address
2925 CHICAGO AVE, MR 10017, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33624
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
869707800
—
MN
Enumeration date
03/27/2006
Last updated
11/14/2023
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