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Tracie Malsom, OD

NPI 1720038441 · on the registry since 2006

Practice

Address
1695 43rd St S
Fargo, ND 58103
Phone
(701) 235-3937
Fax
(701) 356-3937
Organisation at this address
Thomas J Rene Od Pc
Daniel J Levin Od Pc
Daniel J. Levin, Od, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
152W00000X
Licence states on file
IN, ND, MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota