Glacial Lakes Aesthetics LLC

NPI #1730882622 in Spicer, Minnesota

Provider Information

NPI Number
1730882622
Entity Type
Organization
Organization Name
Glacial Lakes Aesthetics LLC
Primary Specialty
Clinic/Center
Enumeration Date
Mar 22, 2023
Last Updated
Mar 22, 2023

Practice Location

Address
143 LAKE AVE N
City
Spicer
ZIP Code
56288-9616
Phone
(320) 444-0856

Authorized Official

Name
ALEXANDRA MALKUCH
Title
OWNER
Phone
(320) 444-0856

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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