Graduated: 2017
NPI: 1134656994
Practice Locations (5)
PERHAM HOSPITAL DISTRICT
1000 CONEY ST W
PERHAM, MN 565732102
2183471656
PERHAM HOSPITAL DISTRICT
1000 CONEY W ST
PERHAM, MN 565732102
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.