Graduated: 2005
NPI: 1851670707
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
1412 MAIN ST
HAWLEY, MN 56549
2184833564
SANFORD MEDICAL CENTER FARGO
1750 47TH AVE S
GRAND FORKS, ND 582017595
7017578700
Source: CMS National Downloadable File, September 2026.