Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1336146703
Practice Locations (2)
INNOVIS HEALTH LLC
1702 UNIVERSITY DR S
FARGO, ND 581034940
7013648900
PAM PHYSICIAN ENTERPRISE
4671 38TH ST S
FARGO, ND 581047866
7014045100
Source: CMS National Downloadable File, September 2026.