Individual
DR. TRACIE L RYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
410 MALCOLM DR STE C, WESTMINSTER, MD 21157
(410) 857-2300
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0061206
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50078014
CAPITAL BLUECROSS
PA
Enumeration date
05/16/2006
Last updated
06/05/2018
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