Graduated: 2022
NPI: 1043840036
Practice Locations (2)
ALLINA HEALTH SYSTEM
303 CATLIN ST
BUFFALO, MN 553131947
7634279980
CENTRACARE CLINIC
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 563032253
3202583090
Source: CMS National Downloadable File, September 2026.