Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1437132958
Practice Locations (2)
GLACIAL RIDGE HOSPITAL DISTRICT
10 4TH AVE SE
GLENWOOD, MN 563341820
3206344521
FAIRVIEW HEALTH SERVICES
911 NORTHLAND DR
PRINCETON, MN 553712172
7633891313
Source: CMS National Downloadable File, September 2026.