Graduated: 2021
NPI: 1013516269
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
2301 25TH ST S
FARGO, ND 581036104
7012347400
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.