Graduated: 2009
NPI: 1710211800
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
1720 UNIVERSITY DR S
FARGO, ND 581034940
7012342000
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.