Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1902907454
Practice Locations (2)
NORTH MEMORIAL HEALTH CARE
3300 OAKDALE AVE N
ROBBINSDALE, MN 554222926
7635204897
SANFORD HEALTH NETWORK
101 PEABODY DR
WEBSTER, SD 572741061
6052265500
Source: CMS National Downloadable File, September 2026.