Graduated: 2004
NPI: 1205875598
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
SANFORD MEDICAL CENTER FARGO
1000 CONEY ST W
PERHAM, MN 565732102
2183471200
SANFORD MEDICAL CENTER FARGO
1000 CONEY ST W, SUITE 61
PERHAM, MN 565732102
2183471200
Source: CMS National Downloadable File, September 2026.