| Sanford Health 621 Demers Ave Clinic | |
|
621 Demers Ave East Grand Forks MN 56721-1812 | |
| (218) 773-5800 | |
| Not Available |
| Full Name | Sanford Health 621 Demers Ave Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 621 Demers Ave, East Grand Forks, Minnesota |
| Authorized Official Name and Position | Martha Leclerc (VICE PRESIDENT) |
| Authorized Official Contact | 7012346248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health 621 Demers Ave Clinic 621 Demers Ave East Grand Forks MN 56721-1812 Ph: (218) 773-5800 | Sanford Health 621 Demers Ave Clinic 621 Demers Ave East Grand Forks MN 56721-1812 Ph: (218) 773-5800 |
| NPI Number | 1366722654 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366722654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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