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Eddy Urena, DO

Student in an Organized Health Care Education/Training Program in Saint Paul, MN. Individual provider (NPI-1).

NPI number1023811684
StatusActive
Last updated in NPPESMar 29, 2025

Details

NPI
1023811684
Entity type
Individual (NPI-1)
Name
Eddy Urena
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 29, 2025
Certification date
Mar 29, 2025
Last updated
Mar 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

233 Grand Ave
Saint Paul, MN 55102-2331

Phone 651-241-5200

Mailing address

1125 Cherokee Ave
Saint Paul, MN 55118-2001

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