John Robert Hollerud, M.D.

NPI #1942317888 in Blaine, Minnesota

Provider Information

NPI Number: 1942317888
Entity Type: Individual
Name: John Robert Hollerud, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Aug 24, 2006
Last Updated: Jun 30, 2021

Practice Location

Address: 11107 ULYSSES ST NE STE 100
City: Blaine
State: Minnesota
ZIP Code: 55434-4264
Phone: (763) 333-7733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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