Graduated: 2003
NPI: 1407071400
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
2400 32ND AVE S
FARGO, ND 581035800
7012342000
SANFORD MEDICAL CENTER FARGO
300 2ND AVE NE
JAMESTOWN, ND 584013373
7012516000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.