Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1995
NPI: 1477541100
Practice Locations (2)
SANFORD HEALTH OF NORTHERN MINNESOTA
1300 ANNE ST NW
BEMIDJI, MN 566015103
2183335000
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
Source: CMS National Downloadable File, September 2026.