Graduated: 1997
NPI: 1457329393
Practice Locations (2)
GLACIAL RIDGE HOSPITAL DISTRICT
111 PLEASANT AVE N
BROOTEN, MN 563164715
3203462272
GLACIAL RIDGE HOSPITAL DISTRICT
417 FRANKLIN ST S
GLENWOOD, MN 563341518
3206345157
Source: CMS National Downloadable File, September 2026.