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

Sanford Medical Center Fargo

Organization Family Medicine Physician · NPI 1144500497

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

In the registry since
2011
Specialties on file
3

Practice location Address checks out

1705 Anne St NW Ste #5 6 7 8
Bemidji, MN 56601-6151
Phone: (218) 333-5000
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Occupational Medicine Physician Taxonomy 2083X0100X

Record details

NPI number1144500497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Bemidji 1705 Anne St Clinic; Sanford Bemidji 1705 Anne St Clinic
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address1705 Anne St Nw, Suite #5, 6, 7, 8, Bemidji, MN 56601-6151

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