| Sanford Health Edgewood Vista Clinic | |
|
4420 37th Ave S Fargo ND 58104-3400 | |
| (701) 365-4746 | |
| Not Available |
| Full Name | Sanford Health Edgewood Vista Clinic |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 4420 37th Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Martha Leclerc (VICE PRESIDENT) |
| Authorized Official Contact | 7012346248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Edgewood Vista Clinic 4420 37th Ave S Fargo ND 58104-3400 Ph: (701) 365-4746 | Sanford Health Edgewood Vista Clinic 4420 37th Ave S Fargo ND 58104-3400 Ph: (701) 365-4746 |
| NPI Number | 1548540826 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548540826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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