Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1891779641
Practice Locations (3)
ST LUKES CLINIC - WOOD RIVER LLC
100 HOSPITAL DR, SUITE 201
KETCHUM, ID 833409998
2087278888
ALTRU HEALTH SYSTEM
1200 S COLUMBIA RD
GRAND FORKS, ND 582014036
7017805000
ALTRU HEALTH SYSTEM
1380 S COLUMBIA RD
GRAND FORKS, ND 582014059
7017952000
Source: CMS National Downloadable File, September 2026.