| NPI | 1548540826 |
|---|---|
| Doing Business As | SANFORD HEALTH EDGEWOOD VISTA CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA LECLERC Vice President 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-27 |