Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1740382456
Practice Locations (2)
LAKE REGION HUMAN SERVICE CENTER
200 HWY 2 SW
DEVILS LAKE, ND 583013532
LAKE REGION HUMAN SERVICE CENTER
200 HWY 2 W
DEVILS LAKE, ND 583013532
7016652200
Source: CMS National Downloadable File, September 2026.