Graduated: 2020
NPI: 1235756040
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
1245 WASHINGTON AVE
DETROIT LAKES, MN 565013905
2188462000
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
Source: CMS National Downloadable File, September 2026.