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

Sanford Medical Center Fargo

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1548540826

Sanford Medical Center Fargo provides Geriatric Medicine (Internal Medicine) Physician services in Fargo, North Dakota. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

4420 37th Ave S
Fargo, ND 58104-3400
Phone: (701) 365-4746
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1548540826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Health Edgewood Vista Clinic; Sanford Health Edgewood Vista Clinic
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address4420 37th Ave S, Fargo, ND 58104-3400

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