Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Bemidji Main Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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