Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2001
NPI: 1376513770
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
1527 BROADWAY ST
ALEXANDRIA, MN 563082537
3207620399
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
Source: CMS National Downloadable File, September 2026.