Graduated: 1997
NPI: 1750330338
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.