| NPI | 1770863078 |
|---|---|
| Doing Business As | SANFORD NEUROSCIENCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA LECLERC Vice President 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 207T00000X Neurological Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-27 |