Graduated: 2021
NPI: 1902053895
Practice Locations (2)
SANFORD MEDICAL CENTER FARGO
300 2ND AVE NE
JAMESTOWN, ND 584013373
7012516000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.