Graduated: 1990
NPI: 1679649867
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
420 S 7TH ST
OAKES, ND 584742024
7017423267
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.