NPI 1053159509

Logan Renninger, PAC

Practitioner Medical Physician Assistant Robbinsdale, MN

Practice location

Address: 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926
Phone: (763) 581-3700
Fax: (763) 581-3701

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 15039 (MN)

Other Physician Assistant providers in Minnesota →

Registry record

NPI: 1053159509
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2024
Record last updated: 28 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.