NPI 1053747667

James Malkuch, CRNA

Practitioner Certified Registered Nurse Anesthetist Willmar, MN

Practice location

Address: 301 Becker Ave SW, Willmar, MN 56201-3302
Phone: (320) 235-4543
Mailing address: 10050 67th Ave NW, Pennock, MN 56279-9788

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 201286-3 (MN)

Other Nurse Anesthetist, Certified Registered providers in Minnesota →

Registry record

NPI: 1053747667
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2013
Record last updated: 28 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.