Individual
MS. MICHELLE MARIE RUCKMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 403-3396
Mailing address
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 403-3396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2672
MN
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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