Graduated: 1999
NPI: 1598764102
Practice Locations (2)
THE DULUTH CLINIC LTD
400 E 3RD ST
DULUTH, MN 558051951
2187868364
CHARLESTON AREA MEDICAL CENTER INC
830 PENNSYLVANIA AVE, SUITE 204
CHARLESTON, WV 253023389
3043882901
Source: CMS National Downloadable File, September 2026.