institution
Sanford Medical Center Fargo
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Detroit Lakes, Minnesota
NPI 1578508198

Sanford Medical Center Fargo is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Fargo, MN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Sanford Medical Center Fargo practices in Detroit Lakes, MN. The NPI Number for Sanford Medical Center Fargo is 1578508198 and holds a License No. (Minnesota).

The current practice location address for Sanford Medical Center Fargo is 1234 Washington Ave Ste B, Detroit Lakes, MN and can be reached out via phone at 218-846-2200 and via fax at 218-846-2201.

Location: 1234 Washington Ave Ste B, Detroit Lakes, MN, 58107-2168
institution
Provider Profile Details
NPI Number
1578508198
Provider Name
Sanford Medical Center Fargo
Credential
Provider Entity Type
Organization
Address
1234 Washington Ave Ste B, Detroit Lakes, MN, 58107-2168
Phone Number
218-846-2200
Fax Number
218-846-2201
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
735547500 05 MN
012096 01 NDBC
1C18HME 01 MNBC
institution
Provider Business Practice Location Address Details
Address
1234 Washington Ave Ste B
City
State
Zip
56501-3906
Phone Number
218-846-2200
Fax Number
218-846-2201
person
Provider Business Mailing Address Details
Address
1234 Washington Ave Ste B
City
State
Zip
56501-3906
Phone Number
218-846-2200
Fax Number
218-846-2201
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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