Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1984
NPI: 1962424457
Practice Locations (3)
SANFORD MEDICAL CENTER FARGO
736 BROADWAY N
FARGO, ND 581024421
7012342000
SANFORD MEDICAL CENTER FARGO
737 BROADWAY N
FARGO, ND 581024421
7012342000
SANFORD MEDICAL CENTER FARGO
1220 SHEYENNE ST
WEST FARGO, ND 580782637
7012344445
Source: CMS National Downloadable File, September 2026.