Graduated: 1996
NPI: 1215968177
Practice Locations (2)
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
2188442300
WHITE EARTH INDIAN HEALTH CENTER
40520 COUNTY HWY 34
OGEMA, MN 565699612
2189834300
Source: CMS National Downloadable File, September 2026.