Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Roger Maris Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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