Sanford Clinic North
Dermatology in Bemidji, MN. Organization (NPI-2).
NPI number1407878424
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1407878424
- Entity type
- Organization (NPI-2)
- Legal business name
- Sanford Clinic North
- Organization subpart
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 208100000X | Physical Medicine & Rehabilitation | – | – |
Other names
- Sanford Bemidji East Clinic (Doing Business As)
Practice location
3604 Bemidji Ave NBemidji, MN 56601-4333
Phone 218-333-5111 · Fax 218-333-5458
Mailing address
3604 Bemidji Ave NBemidji, MN 56601-4333
Phone 218-333-5111 · Fax 218-333-5458
Authorized official
Martha K Leclerc
Vp
7012346248
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