John Robert Hollerud
M.D. | Pediatrics | Male
John Robert Hollerud, M.D. is a Blaine, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Robert Hollerud is
11107 Ulysses St Ne Ste 100, Blaine, Minnesota - 55434-4264. He can be contacted on phone at
763-333-7733 and fax number 763-333-7711.
John Robert Hollerud is a sole proprietor of his business.
NPI number (Unique professional ID) for John Robert Hollerud is
1942317888 which was assigned by NPPES on 24 Aug, 2006 and it was last updated on 30 Jun, 2021.
John Robert Hollerud license number is
36159 for Pediatrics (208000000X) in Minnesota.
John Robert Hollerud is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Robert Hollerud basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | John Robert Hollerud |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
John Robert Hollerud address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11107 Ulysses St Ne Ste 100
Blaine, MN, 55434-4264
United States |
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| Phone Number : | 763-333-7733 |
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| Fax Number : | 763-333-7711 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942317888 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Aug, 2006 |
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| Last Updated On : | 30 Jun, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Robert Hollerud are as mentioned. Primary taxonomy code for John Robert Hollerud, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 36159 | MN |
Legacy Identifiers:
Other legacy medical identifiers of John Robert Hollerud such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 895363500 | MEDICAID | MN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
7225 UNIVERSITY AVE NE,
FRIDLEY, MN, 55432-3134
United States | FRIDLEY, MN | 763-333-7733 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11107 Ulysses St Ne Ste 100
Blaine, MN, 55434-4264
United States |
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| Phone Number : | 763-333-7733 |
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| Fax Number : | 763-333-7711 |
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Business Location:
Patients can refer following map for directions to
John Robert Hollerud practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.