Graduated: 1995
NPI: 1679602999
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
2400 32ND AVE S
FARGO, ND 581035800
7012342000
SANFORD MEDICAL CENTER FARGO
21 WILEY AVE S
LIDGERWOOD, ND 580534001
7015384189
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.