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Contact Information

SANFORD MEDICAL CENTER FARGO
1245 WASHINGTON AVE
DETROIT LAKES, MN56501-3905
 Phone: 218-846-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO · (Female)

NPI Number 1427338722
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2011
Last updated 08/18/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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