Organization
SANFORD CLINIC NORTH
Active
Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Orthopedics Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
2301 25TH ST S, SUITE A, FARGO, ND 58103-6104
(701) 237-9712
Mailing address
2301 25TH ST S, SUITE A, FARGO, ND 58103-6104
(701) 237-9712
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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