Individual
DR. ERIC WRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, FNP-C
Contact information
Practice address
95 LONO AVE STE 105, KAHULUI, HI 96732-1610
(808) 873-0733
Mailing address
PO BOX 1140, MAKAWAO, HI 96768-1140
(808) 873-0733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-2874
HI
Other
Enumeration date
02/27/2007
Last updated
04/23/2020
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