Graduated: 2003
NPI: 1639192479
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
618 14TH AVE NE
DEVILS LAKE, ND 583012808
7015447000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.