SearchMinnesota207QS0010X

Samuel Renier

NPI 1699395780 · on the registry since 2020 · sole proprietor

Practice

Address
155 Radio Dr
Woodbury, MN 55125
Phone
(952) 831-8742
Organisation at this address
Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Additional practice sites

  • 1414 Maryland Ave E, Saint Paul, MN
  • 14300 Orchard Pkwy, Westminster, CO
  • 500 W 144th Ave Ste 130, Westminster, CO

Registry record

Primary taxonomy
207QS0010X
207QS0010X
Also registered as
207Q00000X
390200000X
Licence states on file
CO, MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota