Individual
DR. DAVID EARL MALMANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1575 20TH ST NW STE 101, FARIBAULT, MN 55021-2931
(507) 332-9900
(507) 209-6220
Mailing address
1575 20TH ST NW STE 101, FARIBAULT, MN 55021-2931
(507) 332-9900
(507) 209-6220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2204
MN
Other
Enumeration date
07/27/2006
Last updated
09/24/2012
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