Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1831177757
Practice Locations (2)
2500 FAIRWAY ST
DICKINSON, ND 586012639
4265 45TH ST S, SUITE 200
Fargo, ND 581044309
Source: CMS National Downloadable File, September 2026.