| Sanford Clinic North | |
|
81 1st Street Nw Blackduck MN 56630 | |
| (218) 835-4222 | |
| (218) 835-5837 |
| Full Name | Sanford Clinic North |
|---|---|
| Speciality | Family Medicine |
| Location | 81 1st Street Nw, Blackduck, Minnesota |
| Authorized Official Name and Position | Martha K Leclerc (VP) |
| Authorized Official Contact | 7012346248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Clinic North 720 4th St N Po Box 2010 Fargo ND 58122-0605 Ph: (218) 835-4222 | Sanford Clinic North 81 1st Street Nw Blackduck MN 56630 Ph: (218) 835-4222 |
| NPI Number | 1831130921 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831130921 | NPI | - | NPPES |
| 939721300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |