| NPI | 1912261058 |
|---|---|
| Doing Business As | SANFORD THIEF RIVER FALLS |
| Entity Type | Organization |
| Authorized Contact | MARTHA K LECLERC Vice President 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-11-27 |