Individual provider · Type 1 NPI

Logan Renninger, PAC

Medical Physician Assistant · Robbinsdale, MN

NPI number 1053159509 Active

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Fax (763) 581-3701

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X15039 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1053159509

Logan Renninger, PAC's National Provider Identifier is 1053159509, issued on Jul 18, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Robbinsdale, MN. The record was last updated on Aug 28, 2024.