Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glacial Lakes Aesthetics LLC

Organization Clinic/Center · NPI 1730882622

Glacial Lakes Aesthetics LLC is a Clinic/Center in Spicer, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

143 Lake Ave N
Spicer, MN 56288-9616
Phone: (320) 444-0856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1730882622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandra Malkuch — Owner · (320) 444-0856
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing address143 Lake Ave N, Spicer, MN 56288-9616

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