Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1710099114
Practice Locations (2)
SANFORD BISMARCK
1040 TACOMA AVE
BISMARCK, ND 585047452
7013236990
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
Source: CMS National Downloadable File, September 2026.