# SANFORD MEDICAL CENTER FARGO

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

## Provider details

- **NPI number:** 1518247840
- **Authorized official:** MARTHA LECLERC (VICE PRESIDENT)
- **Authorized official phone:** (701) 234-6248

## Contact information

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

## 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:** 08/18/2011
- **Last updated:** 11/27/2023