Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2013
NPI: 1639518442
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
736 BROADWAY N
FARGO, ND 581024421
7012342000
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
Source: CMS National Downloadable File, September 2026.