NPI Verification
National Provider Identifier: 1174554760
Sanford Health Network
Organization
Primary Specialty
Family Medicine
Code: 207Q00000X
All Specialties (15)
Internal Medicine, Adolescent Medicine
Code: 207RA0000X
Internal Medicine, Addiction Medicine
Code: 207RA0401X
Obstetrics & Gynecology
Code: 207V00000X
Pediatrics
Code: 208000000X
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
Code: 2083P0500X
Allergy & Immunology
Code: 207K00000X
Preventive Medicine, Public Health & General Preventive Medicine
Code: 2083P0901X
Preventive Medicine, Occupational Medicine
Code: 2083X0100X
Radiology, Body Imaging
Code: 2085B0100X
Radiology, Diagnostic Radiology
Code: 2085R0202X
Radiology, Diagnostic Ultrasound
Code: 2085U0001X
Surgery
Code: 208600000X
Urology
Code: 208800000X
General Practice
Code: 208D00000X
Family Medicine
Code: 207Q00000X
Practice Address
1601 SIOUX VALLEY DR
LUVERNE, MN 561564500
Phone: 507-283-4476
NPI Enumeration Date
July 5, 2006
NPI Number
1174554760Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry