Graduated: 2024
NPI: 1851142269
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
MEDALLUS AND VACHAROTHONE LTD
721 1ST AVE S, SUITE A
JAMESTOWN, ND 584014725
8776339110
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.