SANFORD HEALTH DETROIT LAKES CLINIC - NPI 1235170747 - Internal Medicine in Detroit Lakes, MN

Q: What is Sanford Clinic North's NPI number?

The NPI number for Sanford Clinic North is 1235170747. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Sanford Health Detroit Lakes Clinic.

Q: What is Sanford Clinic North's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Sanford Health Detroit Lakes Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANFORD HEALTH DETROIT LAKES CLINIC (NPI 1235170747) is a healthcare organization registered as an internal medicine in Detroit Lakes, Minnesota and active in the NPI registry since June 2006. The organization lists Martha K Leclerc, Vp, as its authorized official.

NPPES Registry Identity

NPI1235170747

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSANFORD CLINIC NORTH

Location Address1245 WASHINGTON AVEDetroit Lakes, MN 56501-3905

Mailing Address1245 Washington AveDetroit Lakes, MN 56501-3905 · (218) 846-2000 · Fax (218) 846-2114

Phone(218) 846-2000

Fax(218) 846-2114

Organization SubpartNo

Authorized OfficialMartha K LeclercVp · (701) 234-6248

Enumeration DateJune 8, 2006

Last NPPES UpdateNovember 2, 2011

✔ NPI 1235170747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedSurgeryTaxonomy 208600000X

1245 WASHINGTON AVE, Detroit Lakes, MN 56501

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Other Names 1

Doing Business AsSanford Health Detroit Lakes Clinic

Other Identifiers 1

Medicaid368818600MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE BERG PT, DPT

Physical Therapist