Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1629090261
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
1245 WASHINGTON AVE
DETROIT LAKES, MN 565013905
2188462000
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.