Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1995
NPI: 1649240557
Practice Locations (2)
SANFORD BISMARCK
2615 FAIRWAY ST
DICKINSON, ND 586012590
7014566000
OMAHA THERAPY INC
683 STATE AVE
DICKINSON, ND 586014660
7014839400
Source: CMS National Downloadable File, September 2026.