Graduated: 2005
NPI: 1801165592
Practice Locations (2)
SANFORD HEALTH OF NORTHERN MINNESOTA
1656 CENTRAL ST W
BAGLEY, MN 566214357
2186942384
THE DULUTH CLINIC LTD
1542 GOLF COURSE RD, SUITE 204
GRAND RAPIDS, MN 557443537
2189997000
Source: CMS National Downloadable File, September 2026.