Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2000
Offers telehealth
NPI: 1093195489
Practice Locations (1)
CENTRACARE CLINIC
1301 33RD ST S
ST CLOUD, MN 563019668
3202518181
Source: CMS National Downloadable File, September 2026.