Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1508807116
Practice Locations (2)
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
SANFORD BISMARCK
565 S 7TH ST
BISMARCK, ND 585045859
7013235550
Source: CMS National Downloadable File, September 2026.