Individual
JEREMIAH MALECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3755 BRYANT AVE N, MINNEAPOLIS, MN 55412-2156
(507) 430-2165
Mailing address
3755 BRYANT AVE N, MINNEAPOLIS, MN 55412-2156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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