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Tracie M Mallberg MD PC

Primary Care Clinic/Center in West Fargo, ND · enumerated 2008 · authorized official Tracie Mallberg, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023282969

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Registry record

Entity type Organization (Type 2)
Legal business name Tracie M Mallberg MD PC
Other name <Unavail>
Practice address 550 13th Ave E, West Fargo, ND, 58078
Phone (701) 356-5459
Fax (701) 356-3764
Enumeration date Apr 22, 2008
Last updated in NPPES Aug 1, 2008

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 9395 (ND) Primary

Authorized official

Name Tracie Mallberg
Title President
Phone (701) 356-5459

Other identifiers

Identifier Type State Issuer
14788 Medicaid ND -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Tracie M Mallberg MD PC?
NPPES lists Tracie Mallberg (President) as the authorized official for this organization.
What is the NPI number for Tracie M Mallberg MD PC?
The NPI for Tracie M Mallberg MD PC is 1023282969, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-01.