Sanford Medical Center Fargo

NPI #1508146846 in Perham, Minnesota

Provider Information

NPI Number: 1508146846
Entity Type: Organization
Organization Name: Sanford Medical Center Fargo
Primary Specialty: Family Medicine
Enumeration Date: Aug 18, 2011
Last Updated: Nov 7, 2011

Practice Location

Address: 665 3RD ST SW
City: Perham
State: Minnesota
ZIP Code: 56573-1137
Phone: (218) 347-1200

Authorized Official

Name: MARTHA K LECLERC
Title: VP
Phone: (701) 234-6248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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