Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1995
NPI: 1134117955
Practice Locations (2)
1031 7TH ST NE
DEVILS LAKE, ND 583012719
4265 45TH ST S, SUITE 200
Fargo, ND 581044309
Source: CMS National Downloadable File, September 2026.