# SANFORD CLINIC NORTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford West Fargo Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447295134
- **Authorized official:** MARTHA K LECLERC (VP)
- **Authorized official phone:** (701) 234-6248

## Contact information

- **Practice address:** 1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
- **Practice address phone:** (701) 234-4445
- **Practice address fax:** (701) 234-4393
- **Mailing address:** 1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
- **Mailing address phone:** (701) 234-4445
- **Mailing address fax:** (701) 234-4393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 11/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 894516100 | — | MN |