Graduated: 2024
NPI: 1255172482
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
625 DEMERS AVE
EAST GRAND FORKS, MN 567211833
2187736800
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.