Graduated: 1983
NPI: 1205905288
Practice Locations (3)
SANFORD HEALTH OF NORTHERN MINNESOTA
1233 34TH ST NW
BEMIDJI, MN 566015112
2183335522
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
WISCONSIN HEALTH FUND
6200 W BLUEMOUND RD
MILWAUKEE, WI 532134145
4147715600
Source: CMS National Downloadable File, September 2026.