Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1235007782
Practice Locations (2)
3175 SIENNA DR S, SUITE 103
FARGO, ND 581048910
1216 6TH AVE N
Grand Forks, ND 582033104
Source: CMS National Downloadable File, September 2026.