Provider Demographics
NPI:1780663203
Name:TRINIDAD, EDUARDO DUMLAO (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:DUMLAO
Last Name:TRINIDAD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2550 UNIVERSITY AVENUE WEST
Mailing Address - Street 2:SUITE 229N
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114
Mailing Address - Country:US
Mailing Address - Phone:651-645-3115
Mailing Address - Fax:651-645-2752
Practice Address - Street 1:2550 UNIVERSITY AVENUE WEST
Practice Address - Street 2:SUITE 229N
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114
Practice Address - Country:US
Practice Address - Phone:651-645-3115
Practice Address - Fax:651-645-2752
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2021-07-23
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Provider Licenses
StateLicense IDTaxonomies
MN448532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN073402100Medicaid
MN87953TROtherBCBS OF MN
MN1537136OtherMEDICA