Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2016
NPI: 1073975462
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
1000 CONEY ST W
PERHAM, MN 565732102
2183471200
SANFORD MEDICAL CENTER FARGO
4656 40TH AVE S
FARGO, ND 581044397
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.