Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 1988
NPI: 1073611711
Practice Locations (2)
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
SANFORD BISMARCK
2615 FAIRWAY ST
DICKINSON, ND 586012590
7014566000
Source: CMS National Downloadable File, September 2026.