Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1997
NPI: 1891785424
Practice Locations (3)
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
Staples, MN 564795280
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
STAPLES, MN 56479
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
STAPLES, MN 564795280
2188941515
Source: CMS National Downloadable File, September 2026.