Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-07-30
- Last updated
- 2017-01-18
Licenses
- License ND
- 185
Location
- Practice location
- 218 MAIN
- City
- TURTLE LAKE ND
- Postal code
- 58575
- Phone
- 701-448-2542
Organization contact
- Name
- MARK MALZER
- Title
- OWNER
- Phone
- 7014482542
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
Search this city from the state hub for other records in the public registry.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.