Graduated: 1998
NPI: 1003837220
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
7951 JACKS WAY
HORACE, ND 580479002
7012348830
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.