OrganizationActive
Glacial Lakes Aesthetics LLC
NPI 1730882622 · Clinic/Center · Spicer, MN
Glacial Lakes Aesthetics LLC is a Clinic/Center organization in Spicer, MN (NPI 1730882622).
Provider details
- NPI number
- 1730882622
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alexandra Malkuch, Owner(320) 444-0856
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
143 Lake Ave N
Spicer, MN 56288-9616
Phone: (320) 444-0856
Street-level locationGet directions
Mailing address
143 Lake Ave N
Spicer, MN 56288-9616
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-03-22
- Certified
- 2023-03-22
Frequently asked questions
- What is Glacial Lakes Aesthetics LLC's NPI number?
- Glacial Lakes Aesthetics LLC's National Provider Identifier (NPI) is 1730882622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glacial Lakes Aesthetics LLC?
- Glacial Lakes Aesthetics LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Glacial Lakes Aesthetics LLC located?
- Glacial Lakes Aesthetics LLC's practice location on file with NPPES is 143 Lake Ave N, Spicer, MN 56288-9616.
- What is Glacial Lakes Aesthetics LLC's phone number?
- The practice phone number listed in the NPPES registry for Glacial Lakes Aesthetics LLC is (320) 444-0856.
- Who is the authorized official for Glacial Lakes Aesthetics LLC?
- The authorized official listed on Glacial Lakes Aesthetics LLC's NPPES record is Alexandra Malkuch, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glacial Lakes Aesthetics LLC's NPI active?
- Yes — Glacial Lakes Aesthetics LLC's NPI (1730882622) is active in the NPPES registry as of the last update on 2023-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.