Graduated: 1991
NPI: 1336108091
Practice Locations (3)
HIDDEN VALLEY MEDICAL CENTER INC
2855 OLD HWY 5
BLUE RIDGE, GA 305136248
7062584178
SANFORD HEALTH OF NORTHERN MINNESOTA
1300 ANNE ST NW
BEMIDJI, MN 566015103
2183335000
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
Source: CMS National Downloadable File, September 2026.