Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2024
NPI: 1376383935
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
332 2ND AVE N
WAHPETON, ND 580754528
7016427000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.