Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2022
NPI: 1679216865
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
1527 BROADWAY ST
ALEXANDRIA, MN 563082537
3207620399
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
Source: CMS National Downloadable File, September 2026.