Graduated: 2021
NPI: 1295404010
Practice Locations (4)
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
SANFORD CLINIC NORTH
410 4TH ST NW
MAHNOMEN, MN 565574208
2189352514
SANFORD MEDICAL CENTER FARGO
410 4TH ST SW
MAHNOMEN, MN 565574732
2188352514
SANFORD MEDICAL CENTER FARGO
501 2ND ST NW
TWIN VALLEY, MN 565840996
2185845142
Source: CMS National Downloadable File, September 2026.