Graduated: 1978
NPI: 1639353386
Practice Locations (4)
101 W HWY 61, SUITE 130
GRAND MARAIS, MN 556042333
2183879494
101 W HWY 61 130, PO BOX 325
GRAND MARAIS, MN 556040325
1681-1683 E HWY 61
GRAND MARAIS, MN 556042120
2183879119
PO BOX, SUITE 325
GRAND MARAIS, MN 556040325
Source: CMS National Downloadable File, September 2026.