Organization · Type 2 NPI

Sanford Medical Center Fargo

Internal Medicine Physician · Fargo, ND

NPI number 1699055996 Active

Practice location

1720 University Dr S
Fargo, ND 58103-4940

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Anesthesiology Physician	207L00000X	None listed
Pain Medicine (Anesthesiology) Physician	207LP2900X	None listed
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician Primary	207R00000X	None listed
Pediatrics Physician	208000000X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed
Diagnostic Radiology Physician	2085R0202X	None listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

177 other providers at this address

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NPI record

NPI: 1699055996
Entity type: Organization (Type 2)
Issued: Aug 18, 2011
Last updated: Nov 27, 2023
Status: Active

Other names

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Sanford South University · doing business as
Sanford South University · 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 1699055996

Sanford Medical Center Fargo's National Provider Identifier is 1699055996, issued on Aug 18, 2011. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Fargo, ND. The record was last updated on Nov 27, 2023.