Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2011
NPI: 1104119965
Practice Locations (1)
SANFORD HEALTH NETWORK NORTH
1720 HWY 59 S
THIEF RIVER FALLS, MN 567014331
2186814747
Source: CMS National Downloadable File, September 2026.