Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2000
NPI: 1720151004
Practice Locations (2)
ESSENTIA HEALTH VIRGINIA LLC
300 W CONAN ST
ELY, MN 557311145
2183657900
ESSENTIA HEALTH VIRGINIA LLC
901 9TH ST N
VIRGINIA, MN 557922325
2187413340
Source: CMS National Downloadable File, September 2026.