Graduated: 2000
NPI: 1376742346
Practice Locations (4)
KOOTENAI HEALTH INC
980 W IRONWOOD DR, SUITE 306
COEUR D ALENE, ID 838142668
2086254970
ST CLOUD HOSPITAL
1406 6TH AVE N
SAINT CLOUD, MN 563031900
3202512700
ST CLOUD HOSPITAL
1406 6TH AVE NO
ST CLOUD, MN 563031901
ST CLOUD HOSPITAL
110 2ND ST S, SUITE 104
WAITE PARK, MN 563871367
3202599375
Source: CMS National Downloadable File, September 2026.