Graduated: 1993
NPI: 1427095702
Practice Locations (2)
ST ALEXIUS MEDICAL CENTER
900 E BROADWAY AVE
BISMARCK, ND 585014520
7015307000
UPSTATE NY DOCTOR OF MEDICINE PLLC
427 GUY PARK AVE
AMSTERDAM, NY 120101064
5188421900
Source: CMS National Downloadable File, September 2026.