Organization
HOLLY WRUCK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY WRUCK MS, RDN, LD (OWNER)
(612) 234-5304
Entity
Organization
Contact information
Practice address
7201 METRO BLVD STE 550, EDINA, MN 55439-1353
(612) 234-5304
Mailing address
401 S 1ST ST UNIT 1704, MINNEAPOLIS, MN 55401-2571
(763) 670-0806
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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