Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1993
NPI: 1184672891
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
1720 UNIVERSITY DR S
FARGO, ND 581034940
7012342000
SANFORD MEDICAL CENTER FARGO
2400 32ND AVE S
FARGO, ND 581035800
7012342000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.