Provider First Line Business Practice Location Address:
SANFORD HEALTH
Provider Second Line Business Practice Location Address:
801 BROADWAY NORTH
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-234-6076
Provider Business Practice Location Address Fax Number:
701-234-7230
Provider Enumeration Date:
07/14/2017