Organization · Type 2 NPI

Sanford Medical Center Fargo

Family Medicine Physician · Fargo, ND

NPI number 1114207412 Active

Practice location

2601 Broadway N
Fargo, ND 58102-6704

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.

15 other providers at this address

Other family medicine physician providers in Fargo

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NPI record

NPI: 1114207412
Entity type: Organization (Type 2)
Issued: Aug 18, 2011
Last updated: Nov 27, 2023
Status: Active

Other names

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Sanford North Fargo Clinic · doing business as
Sanford North Fargo Clinic · doing business as

Authorized official

Martha Leclerc
Vice President
(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 1114207412

Sanford Medical Center Fargo's National Provider Identifier is 1114207412, issued on Aug 18, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fargo, ND. The record was last updated on Nov 27, 2023.