Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1996
NPI: 1023076064
Practice Locations (2)
SANFORD HEALTH OF NORTHERN MINNESOTA
1233 34TH ST NW
BEMIDJI, MN 566015112
2183335522
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
Source: CMS National Downloadable File, September 2026.