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 1649550989

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

929 Central Ave NW
East Grand Forks, MN 56721-1917
Phone: (218) 773-6800
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 number1649550989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Health 929 Central Ave Clinic; Sanford Health 929 Central Ave Clinic
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address929 Central Ave Nw, East Grand Forks, MN 56721-1917

Other providers in East Grand Forks