| NPI | 1235170747 |
|---|---|
| Doing Business As | SANFORD HEALTH DETROIT LAKES CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA K LECLERC VP 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-11-02 |