Graduated: 1977
Also: GASTROENTEROLOGY
NPI: 1437265972
Practice Locations (3)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
SANFORD HEALTH OF NORTHERN MINNESOTA
1233 34TH ST NW
BEMIDJI, MN 566015112
2183335522
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
Source: CMS National Downloadable File, September 2026.