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 1366722654

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

In the registry since
2011

Practice location Address checks out

621 Demers Ave
East Grand Forks, MN 56721-1812
Phone: (218) 773-5800
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366722654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Health 621 Demers Ave Clinic; Sanford Health 621 Demers Ave Clinic
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address621 Demers Ave, East Grand Forks, MN 56721-1812

Other providers in East Grand Forks