Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2006
NPI: 1578898995
Practice Locations (2)
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
CENTRACARE CLINIC
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 563032253
3202583090
Source: CMS National Downloadable File, September 2026.