Individual
MRS. CASEY LARAE RUCKHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
219 WEST SOO ST, SUITE 3, PARKERS PRAIRIE, MN 56361
(320) 815-0986
Mailing address
50368 105TH ST, PARKERS PRAIRIE, MN 56361-4839
(320) 815-0986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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