Dr Renner S Anderson, MD - Pediatrics in Minnetonka, MN

Dr Renner S Anderson, MD is a Pediatrics physician based in Minnetonka, Minnesota. Dr Renner S Anderson is licensed to practice in Minnesota (license number 24434) and his current practice location is 15111 Twelve Oaks Center Dr, Minnetonka, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 993-4500.

NPI number for Dr Renner S Anderson is 1902883556 and his current mailing address is 6465 Wayzata Blvd, Ste 315, St Louis Park, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902883556.

Contact Information

Dr Renner S Anderson, MD
15111 Twelve Oaks Center Dr,
Minnetonka, MN 55305-5201
(952) 993-4500
Not Available

Map and Direction




Physician's Profile

Full NameDr Renner S Anderson
GenderMale
SpecialityPediatrics
Location15111 Twelve Oaks Center Dr, Minnetonka, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902883556
  • Provider Enumeration Date: 12/26/2005
  • Last Update Date: 10/20/2011

Medical Identifiers

Medical identifiers for Dr Renner S Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902883556NPI-NPPES
699503900MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 24434 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Renner S Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Renner S Anderson, MD
6465 Wayzata Blvd, Ste 315,
St Louis Park, MN 55426-1728

Ph: () -
Dr Renner S Anderson, MD
15111 Twelve Oaks Center Dr,
Minnetonka, MN 55305-5201

Ph: (952) 993-4500

Reviews and Comments


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