Graduated: 1998
NPI: 1760532139
Practice Locations (2)
NORTHERN ORAL AND MAXILLOFACIAL SURGEONS PA
3617 W ARROWHEAD RD
DULUTH, MN 558114132
2187228377
NORTHERN ORAL AND MAXILLOFACIAL SURGEONS PA
503 BELKNAP ST
SUPERIOR, WI 548802932
7155644081
Source: CMS National Downloadable File, September 2026.