Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1998
NPI: 1417947029
Practice Locations (2)
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
Staples, MN 564795280
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
STAPLES, MN 564795280
2188941515
Source: CMS National Downloadable File, September 2026.