Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1710125893
Practice Locations (2)
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
LUTHERAN CHARITY ASSOCIATION
2422 20TH ST SW
JAMESTOWN, ND 584016201
7012521050
Source: CMS National Downloadable File, September 2026.