Individual
DANIEL RUECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 E SAINT GERMAIN ST, SAINT CLOUD, MN 56304-0617
(320) 202-7881
(320) 202-7886
Mailing address
1425 E SAINT GERMAIN ST, SAINT CLOUD, MN 56304-0617
(320) 202-7881
(320) 202-7886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302719
MN
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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