Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sanford Medical Center Fargo

Organization Anesthesiology Physician · NPI 1093095382

Sanford Medical Center Fargo is an Anesthesiology Physician in Bemidji, Minnesota. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
7

Practice location Address checks out

1233 34th St NW
Bemidji, MN 56601-5112
Phone: (218) 333-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Anesthesiology Physician Taxonomy 207L00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Anatomic Pathology Physician Taxonomy 207ZP0101X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1093095382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Bemidji Main Clinic; Sanford Bemidji Main Clinic
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address1233 34th St Nw, Bemidji, MN 56601-5112

Other providers in Bemidji