Individual
RICHARD EDWARD STRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCCA
Contact information
Practice address
2211 PARK AVE SO, MINNEAPOLIS, MN 55404-3753
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVE SO, MINNEAPOLIS, MN 55404-3753
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5115
MN
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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