| NPI | 1831130921 |
|---|---|
| Doing Business As | SANFORD BEMIDJI BLACKDUCK CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA K LECLERC VP 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-11-27 |