Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1976
NPI: 1508966524
Practice Locations (2)
SANFORD BISMARCK
300 N 7TH ST
BISMARCK, ND 585014439
7013236000
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
Source: CMS National Downloadable File, September 2026.