| NPI | 1083994388 |
|---|---|
| Doing Business As | SANFORD BEMIDJI 1611 ANNE ST. CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA K LECLERC VP 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-27 |