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

Patrick Renner

Individual provider Surgery Physician · NPI 1689369753

Patrick Renner is a Surgery Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

100 Michigan St NE Ste A601
Grand Rapids, MI 49503-2560
Phone: (616) 391-6243
Fax: (616) 391-8611
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4351051212 (MI)

Record details

NPI number1689369753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2023
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

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