Graduated: 2014
NPI: 1508271099
Practice Locations (4)
CENTRACARE CLINIC
3701 12TH ST N, SUITE 100
SAINT CLOUD, MN 563032253
3202537257
SANFORD MEDICAL CENTER FARGO
1720 UNIVERSITY DR S
FARGO, ND 581034940
7012342000
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.