Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1990
NPI: 1720159973
Practice Locations (2)
UNIVERSITY OF NORTH DAKOTA
701 E ROSSER AVE
BISMARCK, ND 585014457
7017516755
SOUTHWESTHEALTHCARE SERVICES
802 2ND ST NW, SUITE 1
BOWMAN, ND 586234469
7015235555
Source: CMS National Downloadable File, September 2026.