Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1976
Offers telehealth
NPI: 1164590147
Practice Locations (2)
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
2183263401
LAKEVIEW BEHAVIORAL HEALTH INC
516 S POKEGAMA AVE
GRAND RAPIDS, MN 557443800
2183272001
Source: CMS National Downloadable File, September 2026.