Graduated: 2008
NPI: 1629366968
Practice Locations (2)
LAKE SUPERIOR COMMUNITY HEALTH CENTER
210 3RD ST
CARLTON, MN 557187703
2183363524
LAKE SUPERIOR COMMUNITY HEALTH CENTER
2222 E 5TH ST
SUPERIOR, WI 548803709
7153921955
Source: CMS National Downloadable File, September 2026.