| Glacial Lakes Aesthetics Llc | |
|
143 Lake Ave N Spicer MN 56288-9616 | |
| (320) 444-0856 | |
| Not Available |
| Full Name | Glacial Lakes Aesthetics Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 143 Lake Ave N, Spicer, Minnesota |
| Authorized Official Name and Position | Alexandra Malkuch (OWNER) |
| Authorized Official Contact | 3204440856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glacial Lakes Aesthetics Llc 143 Lake Ave N Spicer MN 56288-9616 Ph: () - | Glacial Lakes Aesthetics Llc 143 Lake Ave N Spicer MN 56288-9616 Ph: (320) 444-0856 |
| NPI Number | 1730882622 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730882622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Focus Chiropractic & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Progress Way, Spicer, MN 56288 Phone: 320-796-5180 |