Tracie M Mallberg MD PC
NPI #1023282969 in West Fargo, North Dakota
Provider Information
- NPI Number
- 1023282969
- Entity Type
- Organization
- Organization Name
- Tracie M Mallberg MD PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 22, 2008
- Last Updated
- Aug 1, 2008
Practice Location
- Address
- 550 13TH AVE E
- City
- West Fargo
- State
- North Dakota
- ZIP Code
- 58078-3360
- Phone
- (701) 356-5459
Authorized Official
- Name
- DR. TRACIE M MALLBERG, M.D.
- Title
- PRESIDENT
- Phone
- (701) 356-5459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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