Tracie M Mallberg Md Pc in West Fargo - Primary Care
Tracie M Mallberg Md Pc - NPI 1023282969
Tracie M Mallberg Md Pc is a Primary Care in West Fargo, North Dakota. Tracie M Mallberg Md Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Tracie M Mallberg Md Pc is 1023282969. The last update date is 2008-08-01.
Tracie M Mallberg Md Pc's current location address is 550 13th Ave E, West Fargo, North Dakota. You can contact this provider via phone number 7013565459 and fax number 7013563764. The mailing address for Tracie M Mallberg Md Pc is 550 13th Ave E, West Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tracie M Mallberg Md Pc |
|---|---|
| Address | 550 13th Ave E, West Fargo, North Dakota |
| Phone Number | 7013565459 |
| Fax Number | 7013563764 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mallberg M Tracie |
| Credentials | M.D. |
| Telephone Number | 7013565459 |
NPI Number Detail
| NPI Number | 1023282969 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
| Address | 550 13th Ave E |
|---|---|
| City | West Fargo |
| State | North Dakota (ND) |
| Post Code | 580783360 |
| Phone Number | 7013565459 |
| Fax Number | 7013563764 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 9395 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14788 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tracie M Mallberg Md Pc by the Centers for Medicare & Medicaid Services?
The Tracie M Mallberg Md Pc has been assigned the NPI (National Provider Identifier) 1023282969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Tracie M Mallberg Md Pc is physically located?
The Tracie M Mallberg Md Pc is situated at the following address: 550 13Th Ave E, West Fargo, ND 580783360.
What is the area of specialization for Tracie M Mallberg Md Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tracie M Mallberg Md Pc is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
On what date was the 1023282969 assigned to Tracie M Mallberg Md Pc?
The Tracie M Mallberg Md Pc was issued its 1023282969 on 2008-04-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tracie M Mallberg Md Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracie M Mallberg Md Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-01.
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