Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1983
NPI: 1669453726
Practice Locations (2)
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
Staples, MN 564795280
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
STAPLES, MN 564795280
2188941515
Source: CMS National Downloadable File, September 2026.