Individual
MALIA ELIZABETH PUTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 RICHARD AVE STE 200, HERMANTOWN, MN 55811-3309
(218) 514-5230
Mailing address
802 W COLLEGE ST APT 14, DULUTH, MN 55811-4930
(218) 290-9391
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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