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Sanford Medical Center Fargo
Eyewear Supplier in Detroit Lakes, Minnesota
NPI 1124184403

Sanford Medical Center Fargo is a Eyewear Supplier based in Fargo, MN. Sanford Medical Center Fargo practices in Detroit Lakes, MN. The NPI Number for Sanford Medical Center Fargo is 1124184403 and holds a License No. (Minnesota).

The current practice location address for Sanford Medical Center Fargo is 1234 Washington Ave Ste A, Detroit Lakes, MN and can be reached out via phone at 218-846-2000 and via fax at 701-234-2045.

Location: 1234 Washington Ave Ste A, Detroit Lakes, MN, 58107-2168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124184403
Provider Name
Sanford Medical Center Fargo
Credential
Provider Entity Type
Organization
Address
1234 Washington Ave Ste A, Detroit Lakes, MN, 58107-2168
Phone Number
218-846-2000
Fax Number
701-234-2045
Provider Enumeration Date
12/29/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
801770 01 NDBC
4C334BE 01 MNBC
institution
Provider Business Practice Location Address Details
Address
1234 Washington Ave Ste A
City
Detroit Lakes
State
Minnesota
Zip
56501-3906
Phone Number
218-846-2000
Fax Number
701-234-2045
person
Provider Business Mailing Address Details
Address
1234 Washington Ave Ste A
City
Detroit Lakes
State
Minnesota
Zip
56501-3906
Phone Number
218-846-2000
Fax Number
701-234-2045
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
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Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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