| NPI | 1386047355 |
|---|---|
| Doing Business As | SANFORD HEALTH SOUTHEAST CAMPUS |
| Doing Business As | SANFORD HEALTH THIEF RIVER FALLS EYE CENTER & OPTICAL |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 152W00000X Optometrist | |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology | |
| 207W00000X Ophthalmology | |
| 231H00000X Audiologist | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2023-11-27 |