Individual
TRINH TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(855) 324-7843
Mailing address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(855) 324-7843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019022887
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2016
Last updated
08/09/2021
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