Graduated: 2013
NPI: 1487075404
Practice Locations (2)
PSJ ACQUISITION LLC
510 4TH ST S
FARGO, ND 581031914
7014767200
BRYAN PHYSICIAN NETWORK
2300 S 16TH ST, BRYAN MEDICAL CENTER
LINCOLN, NE 685023704
4024811111
Source: CMS National Downloadable File, September 2026.