Medical school: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1154366144
Practice Locations (2)
PSJ ACQUISITION LLC
510 4TH ST S
FARGO, ND 581031914
7014767200
PSJ ACQUISITION LLC
510 4TH ST S, ATTN CFO
FARGO, ND 581031914
Source: CMS National Downloadable File, September 2026.