Graduated: 2021
NPI: 1578210076
Practice Locations (9)
CENTRACARE CLINIC
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 563032253
3202583090
CENTRACARE CLINIC SOUTHWEST LLC
101 WILLMAR AVE SW
WILLMAR, MN 562013556
3202315000
SANFORD MEDICAL CENTER FARGO
1717 UNIVERSITY DR S
FARGO, ND 581034939
7012342000
SANFORD MEDICAL CENTER FARGO
1720 UNIVERSITY DR S
FARGO, ND 581034940
7012342000
SANFORD MEDICAL CENTER FARGO
2400 32ND AVE S
FARGO, ND 581035800
7012342000
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
SANFORD MEDICAL CENTER FARGO
1711 UNIVERSITY DR S
FARGO, ND 581034939
7014175710
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.