Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2005
NPI: 1497836894
Practice Locations (2)
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
2183263401
RANGE REGIONAL HEALTH SERVICES
3605 MAYFAIR AVE
HIBBING, MN 557462935
2182623441
Source: CMS National Downloadable File, September 2026.