NPI 1154601482
Sanford Medical Center Fargo
Practice location
- Address
- 2301 25th St S Suite a, Fargo, ND 58103-6104
- Phone
- (701) 237-9712
Authorised official
- Name
- Martha Leclerc
- Title
- Vice President
- Phone
- (701) 234-6248
Registered specialties (2)
Orthopaedic Surgery Physician
Primary
Sports Medicine (Orthopaedic Surgery) Physician
Registry record
- NPI
- 1154601482
- Entity type
- Organization
- NPI issued
- 18 Aug 2011
- Record last updated
- 27 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.