Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2003
NPI: 1619904794
Practice Locations (2)
SANFORD HEALTH OF NORTHERN MINNESOTA
1300 ANNE ST NW
BEMIDJI, MN 566015103
2183335000
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
Source: CMS National Downloadable File, September 2026.