Graduated: 1998
NPI: 1033106745
Practice Locations (3)
SANFORD HEALTH OF NORTHERN MINNESOTA
1300 ANNE ST NW
BEMIDJI, MN 566015103
2183335000
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC
1400 BELLINGER ST
EAU CLAIRE, WI 547035222
7158385222
Source: CMS National Downloadable File, September 2026.