Individual
DR. MALLORY VESLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 N COLUMBIA RD STOP 9037, GRAND FORKS, ND 58202-9037
(701) 777-3069
Mailing address
1301 N COLUMBIA RD STOP 9037, GRAND FORKS, ND 58202-9037
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RL21163
ND
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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