Graduated: 2021
NPI: 1275282717
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
4840 23RD AVE S
FARGO, ND 581049136
7014176999
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.