Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Dermatology & Laser Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 234-8860
Mailing address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 234-8860
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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