Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Reproductive Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
1111 HARWOOD DR S, FARGO, ND 58104-4603
(701) 234-4700
(701) 234-4750
Mailing address
1111 HARWOOD DR S, FARGO, ND 58104-4603
(701) 234-4700
(701) 234-4750
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
709479500
—
MN
Enumeration date
07/14/2006
Last updated
11/27/2023
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