Graduated: 2018
NPI: 1891439253
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
321 8TH AVE N
FARGO, ND 581024550
7012342525
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.