Graduated: 2015
NPI: 1588043863
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
3955 56TH ST S, SUITE D
FARGO, ND 581044845
7014177500
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.