Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 2000
NPI: 1407810575
Practice Locations (1)
SPIRIT LAKE TRIBE
3883 74TH AVE NE, SPIRIT LAKE HEALTH CENTER
FORT TOTTEN, ND 583350309
7017661600
Source: CMS National Downloadable File, September 2026.