Individual
DANIEL TRAJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4670 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372-3908
(952) 993-7750
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, MINNEAPOLIS, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
39445
MN
Other
Enumeration date
12/15/2005
Last updated
03/08/2012
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