Individual
GRETA HAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4728
(952) 933-8900
(952) 945-9536
Mailing address
1835 FORD PKWY APT 204, SAINT PAUL, MN 55116-1936
(612) 702-2265
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1938
MN
Other
Enumeration date
01/28/2020
Last updated
02/12/2020
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