Organization
SANFORD CLINIC NORTH
Active
Other names
Perham Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1200
(218) 346-4043
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1200
(218) 346-4043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149715400
—
MN
Enumeration date
07/09/2006
Last updated
03/28/2012
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