Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2004
NPI: 1114190493
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
SANFORD MEDICAL CENTER FARGO
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 567012700
7017804348
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
Source: CMS National Downloadable File, September 2026.