Graduated: 2021
NPI: 1437819471
Practice Locations (2)
ST. LUKE'S HOSPITAL OF DULUTH
915 E 1ST ST
DULUTH, MN 558052107
2182495555
NORTHERN LAKES SURGERY CENTER LLC
4791 COUNTY RD, SUITE 10
MOOSE LAKE, MN 557679221
2182495555
Source: CMS National Downloadable File, September 2026.