Graduated: 2019
NPI: 1104479534
Practice Locations (2)
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES
649 /2 STATE ST NW
EVANSVILLE, MN 563268124
2189482040
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES
111 W VERNON AVE
FERGUS FALLS, MN 565372741
2187392221
Source: CMS National Downloadable File, September 2026.