Sanford Medical Center Fargo

NPI #1861772162 in Hawley, Minnesota

Provider Information

NPI Number: 1861772162
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: 1412 MAIN STREET
City: Hawley
State: Minnesota
ZIP Code: 56549-0746
Phone: (218) 483-3564

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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