Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1998
NPI: 1861568289
Practice Locations (1)
SANFORD HEALTH NETWORK NORTH
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 567012700
2186832725
Source: CMS National Downloadable File, September 2026.