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 |