Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sanford Medical Center Fargo

Organization Dermatology Physician · NPI 1518247816

Sanford Medical Center Fargo provides Dermatology Physician services in Fargo, North Dakota. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

4656 40th Ave S
Fargo, ND 58104-4397
Phone: (701) 234-8860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1518247816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Dermatology & Laser Clinic; Sanford Dermatology & Laser Clinic
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address4656 40th Ave S, Fargo, ND 58104-4397

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