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Organization
MALZER CHIROPRACTIC LLC
Active
Organization
MALZER CHIROPRACTIC LLC
Active
Other names
Lauderdale Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CARL MALZER D.C. (CHIEF MANAGER)
(651) 917-9800
Entity
Organization
Contact information
Practice address
2443 LARPENTEUR AVE W, LAUDERDALE, MN 55113-5234
(651) 917-9800
(651) 917-9801
Mailing address
2443 LARPENTEUR AVE W, LAUDERDALE, MN 55113-5234
(651) 917-9800
(651) 917-9801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4449
MN
111N00000X
Chiropractor
6168
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134181928
NPI
—
01
—
1821454133
NPI INDIVIDUAL
MN
05
—
866439100
—
MN
Enumeration date
08/07/2007
Last updated
03/03/2017
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