IndividualActive
Samuel Renier
NPI 1699395780 · Sports Medicine (Family Medicine) Physician · Woodbury, MN
Provider details
- NPI number
- 1699395780
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- DR.0070456 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
155 Radio Dr
Woodbury, MN 55125-2619
Phone: (952) 831-8742
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Additional practice locations (3)
- 14300 Orchard PkwyWestminster, CO 80023-9206Phone: (303) 430-5560Fax: (303) 430-5560
- 500 W 144th Ave Ste 130Westminster, CO 80023-9326Phone: (303) 426-2130Fax: (303) 426-2415
- 1414 Maryland Ave ESaint Paul, MN 55106-2824Phone: (651) 772-3461
Registry dates
- Enumerated
- 2020-04-20
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.