Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1003863366
Practice Locations (1)
CENTRACARE CLINIC
3701 12TH ST N, SUITE 100
SAINT CLOUD, MN 563032253
3202537257
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1003863366
CENTRACARE CLINIC
3701 12TH ST N, SUITE 100
SAINT CLOUD, MN 563032253
3202537257
Source: CMS National Downloadable File, September 2026.