Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2012
NPI: 1821364043
Practice Locations (2)
600 E BOULEVARD AVE DEPT, SUITE 325
Bismarck, ND 585050602
600 E BOULEVARD AVE DEPT, SUITE 325
BISMARCK, ND 585050602
Source: CMS National Downloadable File, September 2026.