Graduated: 2021
NPI: 1467120147
Practice Locations (4)
SANFORD MEDICAL CENTER FARGO
1720 UNIVERSITY DR S
FARGO, ND 581034940
7012342000
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.