Organization
SANFORD CLINIC NORTH
Active
Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Bemidji East Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
3604 BEMIDJI AVE N, BEMIDJI, MN 56601-4333
(218) 333-5111
(218) 333-5458
Mailing address
3604 BEMIDJI AVE N, BEMIDJI, MN 56601-4333
(218) 333-5111
(218) 333-5458
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194342100
—
MN
Enumeration date
07/25/2006
Last updated
11/27/2023
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