Individual
JAMES MALKUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 235-4543
Mailing address
10050 67TH AVE NW, PENNOCK, MN 56279-9788
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201286-3
MN
Other
Enumeration date
09/16/2013
Last updated
03/28/2023
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