Medical school: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated: 1992
NPI: 1972515070
Practice Locations (3)
121 ELM AVE, PO BOX 854
MOOSE LAKE, MN 557670854
121 ELM AVE, SUITE 854
MOOSE LAKE, MN 557677706
6129163506
PO BOX, SUITE 854
MOOSE LAKE, MN 557670854
Source: CMS National Downloadable File, September 2026.