Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Broadway Medical Building
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58102-4421
(701) 234-2000
Mailing address
736 BROADWAY N, FARGO, ND 58102-4421
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
133V00000X
Registered Dietitian
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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