Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1988
NPI: 1407888019
Practice Locations (3)
MILLE LACS HEALTH SYSTEM
200 ELM ST N
ONAMIA, MN 563597901
3205322750
MILLE LACS HEALTH SYSTEM
200 ELM ST N, PO BOX A
ONAMIA, MN 563597901
ST CLOUD ORTHOPEDIC ASSOCIATES LTD
1901 CONNECTICUT AVE S
SARTELL, MN 563772554
3202594100
Source: CMS National Downloadable File, September 2026.