Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1811965775
Practice Locations (2)
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
2188475611
SIMPLICITY HEALTH PA
3290 42ND AVE S
SAINT CLOUD, MN 563016251
3202275000
Source: CMS National Downloadable File, September 2026.