OrganizationActive
Sanford Medical Center Fargo
NPI 1942580246 · Pediatrics Physician · Fargo, ND
Provider details
- NPI number
- 1942580246
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martha Leclerc, Vice President(701) 234-6248
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
2701 13th Ave S
Fargo, ND 58103-3602
Phone: (701) 234-3600
Approximate (ZIP-level) locationGet directions
Mailing address
2701 13th Ave S
Fargo, ND 58103-3602
Other names (DBA / former)
- Doing business as
- Sanford Children'S Southwest Clinic
- Doing business as
- Sanford Children'S Southwest Clinic
Registry dates
- Enumerated
- 2011-08-18
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.