Organization · Type 2 NPI
Tracie M Mallberg MD PC
Primary Care Clinic/Center · West Fargo, ND
NPI number
1023282969
Active
Practice location
550 13th Ave E
West Fargo, ND 58078-3360
Fax (701) 356-3764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 9395 (ND) |
Primary Care Clinic/Center: Definition to come...
5 other providers at this address
- Brianne Jean Wilcox, PharmD, RPHPharmacist West Fargo, ND NPI 1619258167
- Karl Allen Krenz, PharmDPharmacist West Fargo, ND NPI 1326312893
- Katharine Anne Goehring Karn, L.M.T.Specialist West Fargo, ND NPI 1336440460
- Stephen James Syverson, PharmDPharmacist West Fargo, ND NPI 1104136837
- Susan Lynn Brenan, R.PH.Pharmacist West Fargo, ND NPI 1275843666
About NPI 1023282969
Tracie M Mallberg MD PC's National Provider Identifier is 1023282969, issued on Apr 22, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in West Fargo, ND. The record was last updated on Aug 1, 2008.