Graduated: 2012
NPI: 1063772283
Practice Locations (2)
VIDANT MEDICAL GROUP LLC
97 NC HWY 125
ROANOKE RAPIDS, NC 278706351
2525371933
LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN
110 E 5TH AVE
ANTIGO, WI 544092710
7156232351
Source: CMS National Downloadable File, September 2026.