Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Health Detroit Lakes Same Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2000
Mailing address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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