| Sanford Neuroscience Clinic | |
|
700 1st Ave S Fargo ND 58103-1802 | |
| (701) 234-4036 | |
| (701) 234-4134 |
| Full Name | Sanford Neuroscience Clinic |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 700 1st Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Martha K Leclerc (VP) |
| Authorized Official Contact | 7012346248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Neuroscience Clinic 700 1st Ave S Fargo ND 58103-1802 Ph: (701) 234-4036 | Sanford Neuroscience Clinic 700 1st Ave S Fargo ND 58103-1802 Ph: (701) 234-4036 |
| NPI Number | 1023030046 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023030046 | NPI | - | NPPES |
| 648513800 | Medicaid | MN |
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