Graduated: 1999
NPI: 1205814787
Practice Locations (2)
COAL COUNTRY COMMUNITY HEALTH CENTER
1312 HWY 49 N
BEULAH, ND 585236038
7018734445
HAZEN MEMORIAL HOSPITAL ASSOCIATION
510 8TH AVE NE, HAZEN MEMORIAL HOSPITAL
HAZEN, ND 585454637
7017482225
Source: CMS National Downloadable File, September 2026.