Organization · Type 2 NPI

Sanford Clinic North

Family Medicine Physician · East Grand Forks, MN

NPI number 1013952605 Active

Practice location

621 Demers Ave
East Grand Forks, MN 56721-1833

Fax (218) 773-5888

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10 other providers at this address

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NPI record

NPI: 1013952605
Entity type: Organization (Type 2)
Issued: Jun 18, 2006
Last updated: Nov 27, 2023
Status: Active

Other names

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Sanford Health 621 Demers Ave Clinic · doing business as
Sanford Health 621 Demers Ave Clinic · doing business as

Authorized official

Martha K Leclerc
VP
(701) 234-6248

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013952605

Sanford Clinic North's National Provider Identifier is 1013952605, issued on Jun 18, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in East Grand Forks, MN. The record was last updated on Nov 27, 2023.