Graduated: 2023
NPI: 1356123400
Practice Locations (2)
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
2183263401
RANGE REGIONAL HEALTH SERVICES
750 E 34TH ST
HIBBING, MN 557464600
2182624881
Source: CMS National Downloadable File, September 2026.