| NPI | 1407878424 |
|---|---|
| Doing Business As | SANFORD BEMIDJI EAST CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA K LECLERC VP 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-11-27 |