Organization
MALZER CHIROPRACTIC LLC
Active
Other names
Lauderdale Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CARL MALZER D.C. (CHIEF MANAGER)
(651) 917-9800
Entity
Organization
Contact information
Practice address
2443 LARPENTEUR AVE W, LAUDERDALE, MN 55113-5234
(651) 917-9800
(651) 917-9801
Mailing address
2443 LARPENTEUR AVE W, LAUDERDALE, MN 55113-5234
(651) 917-9800
(651) 917-9801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4449
MN
111N00000X
Chiropractor
6168
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134181928
NPI
—
01
—
1821454133
NPI INDIVIDUAL
MN
05
—
866439100
—
MN
Enumeration date
08/07/2007
Last updated
03/03/2017
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