Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1477595551
Practice Locations (2)
ALTRU HEALTH SYSTEM
1300 S COLUMBIA RD
GRAND FORKS, ND 582014012
7017805000
UNIVERSITY OF NORTH DAKOTA
1201 11TH AVE SW
MINOT, ND 587014207
7018586778
Source: CMS National Downloadable File, September 2026.