Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2004
NPI: 1154513018
Practice Locations (4)
SANFORD MEDICAL CENTER FARGO
1527 BROADWAY ST
ALEXANDRIA, MN 563082537
3207620399
SANFORD MEDICAL CENTER FARGO
929 CENTRAL AVE NW
EAST GRAND FORKS, MN 567211917
2187736800
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
SANFORD MEDICAL CENTER FARGO
2400 32ND AVE S
FARGO, ND 581035800
7012342000
Source: CMS National Downloadable File, September 2026.