Graduated: 1989
NPI: 1700880796
Practice Locations (3)
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
SANFORD BISMARCK
2615 FAIRWAY ST
DICKINSON, ND 586012590
7014566000
BLACK HILLS SURGICAL HOSPITAL LLC
216 ANAMARIA DR
RAPID CITY, SD 577017366
6057214700
Source: CMS National Downloadable File, September 2026.