IndividualActive
Cooper Rendon, PA-C
NPI 1003199068 · Occupational Medicine Physician · Inver Grove Heights, MN
Provider details
- NPI number
- 1003199068
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 085-004146 (IL)
Practice location
7635 Addisen Path
Inver Grove Heights, MN 55077-4108
Phone: (805) 698-8480
Mailing address
7635 Addisen Path
Inver Grove Heights, MN 55077-4108
Registry dates
- Enumerated
- 2011-09-26
- Last updated
- 2018-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.