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DR. RENNER S ANDERSON M.D.
NPI 1902883556
Pediatrics in Minnetonka, MN

Active since December 26, 2005
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305(952) 993-4500 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Renner S Anderson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RENNER S ANDERSON M.D. (NPI 1902883556) is an individual pediatrics provider in Minnetonka, Minnesota, licensed in Minnesota (24434) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1902883556
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RENNER S ANDERSONCredential: M.D.
Location Address15111 TWELVE OAKS CENTER DRMinnetonka, MN 55305-5201
Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728
Phone(952) 993-4500
Sole ProprietorYes
Enumeration DateDecember 26, 2005
Last NPPES UpdateOctober 20, 2011
✔ NPI 1902883556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 24434
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15111 TWELVE OAKS CENTER DR, Minnetonka, MN 55305
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Other Identifiers 3

Medicare ID-Type Unspecified370000101MN
Medicare UPINA94093MN
Medicaid699503900MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA KOHNEN DPT
Physical Therapist
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Hennepin County (952) 993-4500
DR. MARY SUE BERAN MD
Internal Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Hennepin County (952) 993-4500
SUZANNE MARIE DITTER PHARM D.
Pharmacist
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Hennepin County (952) 993-4643
DR. KATHLEEN M LARSON M.D.
Family Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Hennepin County (952) 993-4550
DR. NISHA MEI CHRISTIANSEN MD
Internal Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Hennepin County (952) 993-4500
CHARLES DORLAND O.D.
Optometrist
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Hennepin County (952) 993-4500
MS. JOAN R BAGWELL WHC, NP
Nurse Practitioner (Women's Health)
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Hennepin County (952) 993-4500
DR. EMMY CLAIRE EARP M.D
Family Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Hennepin County (952) 993-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renner Anderson's NPI number?

The NPI number for Renner Anderson is 1902883556. It was assigned to this individual provider in the NPPES registry on December 26, 2005.

Where is Renner Anderson located?

Renner Anderson practices at 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305. The listed phone number is (952) 993-4500.

What is Renner Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Renner Anderson was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.