Graduated: 2018
NPI: 1669939658
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
4656 40TH AVE S
FARGO, ND 581044397
SANFORD MEDICAL CENTER FARGO
904 5TH AVE NE
JAMESTOWN, ND 584013437
7012534000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.