Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1609855873
Practice Locations (3)
801 BROADWAY N
FARGO, ND 581023641
PO BOX, SUITE 2010
FARGO, ND 581222154
PO BOX, SUITE 5074
SIOUX FALLS, SD 571175074
Source: CMS National Downloadable File, September 2026.