| Malzer Chiropractic Llc | |
|
2443 Larpenteur Ave W, Lauderdale, MN 55113-5234 | |
| (651) 917-9800 | |
| (651) 917-9801 |
| Full Name | Malzer Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2443 Larpenteur Ave W, Lauderdale, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972794675 | NPI | - | NPPES |
| 866439100 | Medicaid | MN | |
| 1134181928 | Other | NPI | |
| 1821454133 | Other | MN | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6168 (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 4449 (Minnesota) | Primary |
| Provider Name | Brian C Malzer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134181928 PECOS PAC ID: 0749247302 Enrollment ID: I20041215000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Malzer Chiropractic Llc 2443 Larpenteur Ave W, Lauderdale, MN 55113-5234 Ph: (651) 917-9800 | Malzer Chiropractic Llc 2443 Larpenteur Ave W, Lauderdale, MN 55113-5234 Ph: (651) 917-9800 |
Mr. Brian Carl Malzer, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2443 Larpenteur Ave W, Lauderdale, MN 55113 Phone: 651-917-9800 Fax: 651-917-9801 | |
Mallory Christopherson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2443 Larpenteur Ave W, Lauderdale, MN 55113 Phone: 651-917-9800 |