Graduated: 2022
NPI: 1760121099
Practice Locations (3)
SANFORD BISMARCK
1040 TACOMA AVE
BISMARCK, ND 585047452
7013236990
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
SANFORD BISMARCK
565 S 7TH ST
BISMARCK, ND 585045859
7013235550
Source: CMS National Downloadable File, September 2026.