Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Health 1611 North Eye Center & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
Mailing address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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