Graduated: 2021
NPI: 1831712660
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
SANFORD MEDICAL CENTER FARGO
115 E SOO ST
PARKERS PRAIRIE, MN 563614995
2183384371
Source: CMS National Downloadable File, September 2026.