Graduated: 2021
NPI: 1578133765
Practice Locations (3)
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
2183263401
RANGE REGIONAL HEALTH SERVICES
750 E 34TH ST
HIBBING, MN 557464600
2182624881
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
Source: CMS National Downloadable File, September 2026.