Graduated: 2019
NPI: 1487212205
Practice Locations (2)
SANFORD HEALTH NETWORK NORTH
1720 HWY 59 S
THIEF RIVER FALLS, MN 567014331
2186814747
SANFORD HEALTH NETWORK NORTH
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 567012700
2186832725
Source: CMS National Downloadable File, September 2026.