Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1275407363
Practice Locations (2)
4575 23RD AVE S, SUITE 400
Fargo, ND 581048783
4575 23RD AVE S, SUITE 400
FARGO, ND 581048783
Source: CMS National Downloadable File, September 2026.