Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1093821621
Practice Locations (2)
514 BELTRAMI AVE NW
BEMIDJI, MN 566013010
514 BELTRAMI AVE NW, SUITE 102
BEMIDJI, MN 566013010
2187669281
Source: CMS National Downloadable File, September 2026.