NPI 1518247816

Sanford Medical Center Fargo

Organisation Dermatology Physician Fargo, ND

Practice location

Address: 4656 40th Ave S, Fargo, ND 58104-4397
Phone: (701) 234-8860

Authorised official

Name: Martha Leclerc
Title: Vice President
Phone: (701) 234-6248

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in North Dakota →

Registry record

NPI: 1518247816
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.