Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 63160 | MN |
Y | 207RP1001X | Pulmonary Disease | 63160 | MN |
NPI | 1083804256 |
---|---|
Provider Name | Dr. Trina J Hollatz |
First Address | Duluth, MN 55805-2215 |
Second Address | Duluth, MN 55805-2215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 07/03/2018 |