Graduated: 2019
NPI: 1164059267
Practice Locations (3)
THE METHODIST HOSPITALS INC
200 E 89TH AVE, METHODIST SURGICAL SERVICES
MERRILLVILLE, IN 464107318
2197385330
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.