Graduated: 2016
NPI: 1801427984
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
SANFORD MEDICAL CENTER FARGO
4000 28TH AVE S
MOORHEAD, MN 565607926
7012343200
Source: CMS National Downloadable File, September 2026.