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Organization
SANFORD CLINIC NORTH
Active
Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Health 621 Demers Ave Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
621 DEMERS AVE, EAST GRAND FORKS, MN 56721-1833
(218) 773-5800
(218) 773-5888
Mailing address
621 DEMERS AVE, EAST GRAND FORKS, MN 56721-1833
(218) 773-5800
(218) 773-5888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398687000
—
MN
Enumeration date
06/18/2006
Last updated
11/27/2023
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