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Individual

MR. TRENTON CHARLES COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 726-2663
(651) 312-3188
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 726-2663
(651) 312-3188

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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