Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1487692182
Practice Locations (2)
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
SANFORD BISMARCK
1700 11TH ST W
WILLISTON, ND 588014500
7017747687
Source: CMS National Downloadable File, September 2026.