Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2013
NPI: 1356770036
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
820 4TH ST N
FARGO, ND 581024539
7012346161
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.