Graduated: 2013
NPI: 1043650302
Practice Locations (4)
PAM PHYSICIAN ENTERPRISE
4671 38TH ST S
FARGO, ND 581047866
7014045100
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.