Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Health Wahpeton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
Mailing address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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