Graduated: 2007
NPI: 1215124573
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
1720 UNIVERSITY DR S
FARGO, ND 581034940
7012342000
EYE CONSULTANTS OF FARGO PLLC
3171 44TH ST S, UNIT 101
FARGO, ND 581048521
7012350561
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.