Organization
SANFORD MEDICAL CENTER FARGO
Active
Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Orthopedics Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
2301 25TH ST S, SUITE A, FARGO, ND 58103-6104
(701) 237-9712
Mailing address
2301 25TH ST S, SUITE A, FARGO, ND 58103-6104
(701) 237-9712
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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