Provider Demographics
NPI:1083804256
Name:HOLLATZ, TRINA J (MD)
Entity Type:Individual
Prefix:DR
First Name:TRINA
Middle Name:J
Last Name:HOLLATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:920 E 1ST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2215
Mailing Address - Country:US
Mailing Address - Phone:218-249-7970
Mailing Address - Fax:218-249-7997
Practice Address - Street 1:920 E 1ST ST STE 201
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2215
Practice Address - Country:US
Practice Address - Phone:218-249-7970
Practice Address - Fax:218-249-7997
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2018-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN63160207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine