Graduated: 2021
NPI: 1790417814
Practice Locations (4)
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
SANFORD HEALTH OF NORTHERN MINNESOTA
1705 ANNE ST NW
BEMIDJI, MN 566016151
2183335000
PONCA TRIBE OF NEBRASKA
2602 J ST
OMAHA, NE 681071643
4027383158
PONCA TRIBE OF NEBRASKA
2602 J ST, FRED LEROY HEALTH AND WELLNESS CENTER
OMAHA, NE 681071643
Source: CMS National Downloadable File, September 2026.