Graduated: 2006
NPI: 1356439053
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
904 5TH AVE NE
JAMESTOWN, ND 584013437
7012534000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.