Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1993
NPI: 1073573721
Practice Locations (2)
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES
649 /2 STATE ST NW
EVANSVILLE, MN 563268124
2189482040
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES
712 S CASCADE ST
FERGUS FALLS, MN 565372913
2187368000
Source: CMS National Downloadable File, September 2026.