Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Hawley Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
1412 MAIN STREET, HAWLEY, MN 56549-0746
(218) 483-3564
(218) 483-3567
Mailing address
720 4TH ST N, PO BOX 2010, FARGO, ND 58122-0605
(218) 483-3564
(218) 483-3567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428716900
—
MN
Enumeration date
07/24/2006
Last updated
11/27/2023
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