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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACIE M MALLBERG MD PC

Active Organization

TRACIE M MALLBERG MD PC is a Primary Care Clinic organization located in WEST FARGO, North Dakota. NPI 1023282969 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · WEST FARGO, ND

Registration Details

NPI Number
1023282969
Provider Type
Organization
NPI Issued
Apr 22, 2008 (18.335897718584 yrs)
Last Updated
Aug 1, 2008
License
9395 (ND)

Practice Information

Address
550 13TH AVE E
WEST FARGO, ND, 580783360
Browse ND providers · Browse ZIP 58078
Phone
7013565459
Fax
7013563764
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.