Sanford Clinic North

NPI #1700087061 in Park Rapids, Minnesota

Provider Information

NPI Number: 1700087061
Entity Type: Organization
Organization Name: Sanford Clinic North
Primary Specialty: Optometrist
Enumeration Date: May 31, 2007
Last Updated: Mar 10, 2011

Practice Location

Address: 206 PLEASANT AVE S
City: Park Rapids
State: Minnesota
ZIP Code: 56470-1417
Phone: (218) 732-3389

Authorized Official

Name: LISA M CARLSON
Title: CFO
Phone: (701) 234-4811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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