Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Southpointe Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8800
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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