Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2005
NPI: 1629448139
Practice Locations (3)
SANFORD HEALTH OF NORTHERN MINNESOTA
1233 34TH ST NW
BEMIDJI, MN 566015112
2183335522
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
SANFORD HEALTH OF NORTHERN MINNESOTA
614 MICHIGAN AVE W
WALKER, MN 564842276
2185477700
Source: CMS National Downloadable File, September 2026.