Graduated: 2006
NPI: 1588743561
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
2400 32ND AVE S
FARGO, ND 581035800
7012342000
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
Source: CMS National Downloadable File, September 2026.