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

Sanford Medical Center Fargo

Organization Dermatology Physician · NPI 1518247816

Sanford Medical Center Fargo is a Dermatology Physician in Fargo, North Dakota. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

4656 40th Ave S
Fargo, ND 58104-4397
Phone: (701) 234-8860
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1518247816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Dermatology & Laser Clinic; Sanford Dermatology & Laser Clinic
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address4656 40th Ave S, Fargo, ND 58104-4397

Other providers in Fargo