Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Renner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740623719

Andrew Renner, MD is a Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana. Works from 2 locations. Licensed in Hawaii and Indiana.

Licensed in
HI, IN
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone: (855) 875-6333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1356 Lusitana St Fl 6, Honolulu, HI 96813-2409 — (808) 586-2920

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01078400A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MDR-6524 (HI)

Record details

NPI number1740623719
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESDecember 11, 2018
Mailing address121 S Saint Louis Blvd, South Bend, IN 46617-2924

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