Graduated: 1992
NPI: 1639135007
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
5225 23RD AVE S
FARGO, ND 581047927
7014172575
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1836 S AVE
LA CROSSE, WI 546015429
6087837300
Source: CMS National Downloadable File, September 2026.