Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2004
NPI: 1700854262
Practice Locations (2)
LAKE SUPERIOR COMMUNITY HEALTH CENTER
4325 GRAND AVE
DULUTH, MN 558072730
2187221497
LAKE SUPERIOR COMMUNITY HEALTH CENTER
2222 E 5TH ST
SUPERIOR, WI 548803709
7153921955
Source: CMS National Downloadable File, September 2026.