| NPI | 1144500497 |
|---|---|
| Doing Business As | SANFORD BEMIDJI 1705 ANNE ST CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA LECLERC Vice President 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-27 |