Graduated: 2013
NPI: 1396184123
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
929 CENTRAL AVE NW
EAST GRAND FORKS, MN 567211917
2187736800
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
Source: CMS National Downloadable File, September 2026.