Individual
ANNA C MALIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
206 DIVISION ST, WAITE PARK, MN 56387-1331
(320) 253-0365
(320) 253-0365
Mailing address
410 ELEANOR CT, SARTELL, MN 56377-4603
(320) 217-8705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2921
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530013400
—
MN
Enumeration date
04/05/2006
Last updated
04/09/2014
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