Graduated: 2023
NPI: 1013787449
Practice Locations (2)
THE DULUTH CLINIC LTD
400 E 3RD ST
DULUTH, MN 558051951
2187868364
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
600 HIGHLAND AVE
MADISON, WI 537920001
6082636400
Source: CMS National Downloadable File, September 2026.