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Individual
MR. TRENTON CHARLES COOPER
Active
Individual
MR. TRENTON CHARLES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
59358
MN
207XP3100X
Pediatric Orthopaedic Surgery Physician
59358
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H400317940
PTAN
MN
Enumeration date
05/24/2010
Last updated
12/19/2019
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