Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1164438743
Practice Locations (2)
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.