NPI 1063656452

Crystal Ann Malm, CST

Practitioner Surgical Technologist Edina, MN

Practice location

Address: 6545 France Ave S Suite 160, Edina, MN 55435-2131
Phone: (952) 835-0750
Fax: (952) 835-0662
Mailing address: 701 25th Ave S Suite 505, Minneapolis, MN 55454-1513

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Minnesota →

Registry record

NPI: 1063656452
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2009
Record last updated: 29 Apr 2009

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.