Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1942308614
Practice Locations (2)
SANFORD BISMARCK
3318 N 14TH ST
BISMARCK, ND 585031614
7013238300
SANFORD BISMARCK
102 MANDAN AVE
MANDAN, ND 585543771
7016675000
Source: CMS National Downloadable File, September 2026.