Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1346285541
Practice Locations (2)
SANFORD BISMARCK
300 N 7TH ST
BISMARCK, ND 585014439
7013236000
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
Source: CMS National Downloadable File, September 2026.