TRACIE M MALLBERG MD PC

NPI # 

Practice Address:

550 13Th Ave E

West Fargo, ND, 58078-3360

Practice Phone:

701-356-5459

Practice Fax:

701-356-3764

License Number:

9395

License State:

ND

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X