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Individual

EDUARDO DUMLAO TRINIDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4786
Mailing address
2550 UNIVERSITY AVENUE WEST, SUITE 229N, ST PAUL, MN 55114
(651) 645-3115
(651) 645-2752

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44853
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
073402100
MN
01
1537136
MEDICA
MN
01
87953TR
BCBS OF MN
MN
Enumeration date
01/12/2006
Last updated
06/06/2024
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