Graduated: 2016
NPI: 1053763243
Practice Locations (2)
MAYO CLINIC HEALTH SYSTEM-LAKE CITY
500 W GRANT ST
LAKE CITY, MN 550411143
6513453321
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
701 HEWITT BLVD
RED WING, MN 550662848
6512675000
Source: CMS National Downloadable File, September 2026.