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GLACIAL LAKES AESTHETICS LLC
NPI 1730882622
Clinic/Center in Spicer, MN

Active since March 22, 2023
143 LAKE AVE N, SPICER, MN 56288(320) 444-0856 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glacial Lakes Aesthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLACIAL LAKES AESTHETICS LLC (NPI 1730882622) is a healthcare organization registered as a clinic/center in Spicer, Minnesota and active in the NPI registry since March 2023. The organization lists Alexandra Malkuch, Owner, as its authorized official.

NPPES Registry Identity

NPI1730882622
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGLACIAL LAKES AESTHETICS LLC
Location Address143 LAKE AVE NSpicer, MN 56288-9616
Mailing Address143 Lake Ave NSpicer, MN 56288-9616
Phone(320) 444-0856
Organization SubpartNo
Authorized OfficialAlexandra MalkuchOwner · (320) 444-0856
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1730882622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
143 LAKE AVE N, Spicer, MN 56288
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glacial Lakes Aesthetics LLC's NPI number?

The NPI number for Glacial Lakes Aesthetics LLC is 1730882622. It was assigned to this organization in the NPPES registry on March 22, 2023.

Where is Glacial Lakes Aesthetics LLC located?

Glacial Lakes Aesthetics LLC is located at 143 Lake Ave N, Spicer, MN 56288. The listed phone number is (320) 444-0856.

What is Glacial Lakes Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Glacial Lakes Aesthetics LLC was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.