Tracie M Mallberg MD PC
Tracie M Mallberg MD PC is a Primary Care Clinic/Center in West Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2008.
- Licensed in
- ND
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
550 13th Ave EWest Fargo, ND 58078-3360
Phone: (701) 356-5459
Fax: (701) 356-3764
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 9395 (ND) |
|---|
Record details
| NPI number | 1023282969 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracie Mallberg — President · (701) 356-5459 |
| Other names | Lilycare Clinic |
| NPI enumerated | April 22, 2008 |
| Last updated in NPPES | August 1, 2008 |
| Mailing address | 550 13th Ave E, West Fargo, ND 58078-3360 |