Graduated: 2023
NPI: 1124807201
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
3035 DEMERS AVE
GRAND FORKS, ND 582014040
7017467521
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.