Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford North Fargo Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
2601 BROADWAY N, FARGO, ND 58102-6704
(701) 234-2900
(701) 234-2996
Mailing address
2601 BROADWAY N, FARGO, ND 58102-6704
(701) 234-2900
(701) 234-2996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027813100
—
MN
Enumeration date
06/25/2006
Last updated
11/02/2011
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