Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1997
NPI: 1023039021
Practice Locations (2)
PRAIRIE LAKES HEALTH CARE SYSTEM INC
450 EASTVOLD AVE
ORTONVILLE, MN 562781252
3208396157
PRAIRIE LAKES HEALTH CARE SYSTEM INC
401 9TH AVE NW
WATERTOWN, SD 572011548
6058827000
Source: CMS National Downloadable File, September 2026.