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Gracie Mallak

NPI 1568370161 · on the registry since 2026 · sole proprietor

Practice

Address
616 Hunter Cir
Winsted, MN 55395
Phone
(651) 307-9613

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-01

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 Minnesota