License holder summary

Tracie M. Mallberg-Shaffer is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Tracie M. Mallberg-Shaffer is 15130 SW Amelia Rd, Glenwood, MN 56334. This doctor license is not current. The license was granted 11/08/2003 and expired on 11/30/2006.

Department of Safety and Professional Services

Board of Medical Practice

Tracie M. Mallberg-Shaffer
Medical - Physician And Surgeon
License number
46245
Date granted
11/08/2003
Date expires
11/30/2006
Class
Medical - Physician And Surgeon
Status
Canceled
Address
15130 SW Amelia Rd, Glenwood, MN 56334
doctorsminnesota.org
ID 22249827
LAST UPDATED 2024-04-23 04:30:02 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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