| NPI | 1255623187 |
|---|---|
| Doing Business As | SANFORD HEALTH EDGEWOOD VISTA CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA K LECLERC VP 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2023-11-27 |