Individual provider · Type 1 NPI

Holly Wallerich

Specialist · Moorhead, MN

NPI number 1386591469 Active

Practice location

1547 30th Ave S
Moorhead, MN 56560-5149

Call (218) 287-4338 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386591469

Holly Wallerich's National Provider Identifier is 1386591469, issued on Mar 16, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Moorhead, MN. The record was last updated on Mar 16, 2026.