Sanford Medical Center Fargo

NPI #1144500497 in Bemidji, Minnesota

Provider Information

NPI Number: 1144500497
Entity Type: Organization
Organization Name: Sanford Medical Center Fargo
Primary Specialty: Family Medicine
Enumeration Date: Aug 18, 2011
Last Updated: Nov 27, 2023

Practice Location

Address: 1705 ANNE ST NW
Address 2: SUITE #5, 6, 7, 8
City: Bemidji
State: Minnesota
ZIP Code: 56601-6151
Phone: (218) 333-5000

Authorized Official

Name: MARTHA LECLERC
Title: VICE PRESIDENT
Phone: (701) 234-6248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Preventive Medicine - Occupational Medicine — Occupational Medicine	2083X0100X
Family Medicine	207Q00000X	Primary

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