Graduated: 1986
NPI: 1467540559
Practice Locations (4)
MILLENNIUM PHYSICIAN GROUP LLC
13823 TAMIAMI TRL
NORTH PORT, FL 342872069
9418880770
SANFORD HEALTH NETWORK
1018 6TH AVE
WORTHINGTON, MN 561872202
5073723800
SANFORD HEALTH NETWORK
1680 DIAGONAL RD
WORTHINGTON, MN 561871008
5073723800
SPARTANBURG MEDICAL CENTER
1200 E MAIN ST, SUITE 12
SPARTANBURG, SC 293071738
8645609260
Source: CMS National Downloadable File, September 2026.