Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Bemidji 1705 Anne St Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
1705 ANNE ST NW, SUITE #5, 6, 7, 8, BEMIDJI, MN 56601-6151
(218) 333-5000
Mailing address
1705 ANNE ST NW, SUITE #5, 6, 7, 8, BEMIDJI, MN 56601-6151
(218) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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