Graduated: 2012
NPI: 1245758234
Practice Locations (2)
GATEWAY FAMILY HEALTH CLINIC, LTD.
4570 CTY HWY 61
MOOSE LAKE, MN 557679401
2184854491
NORTHERN LAKES SURGERY CENTER LLC
4791 COUNTY RD, SUITE 10
MOOSE LAKE, MN 557679221
2182495555
Source: CMS National Downloadable File, September 2026.