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Organization
SANFORD MEDICAL CENTER FARGO
Active
Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Perham Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
665 3RD ST SW, PERHAM, MN 56573-1137
(218) 347-1200
Mailing address
665 3RD ST SW, PERHAM, MN 56573-1137
(218) 347-1200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
11/07/2011
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