Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2011
NPI: 1114201514
Practice Locations (4)
ST CLOUD HOSPITAL
1406 6TH AVE N
SAINT CLOUD, MN 563031900
3202512700
ST CLOUD HOSPITAL
1900 CENTRACARE CIR, SUITE 2400
SAINT CLOUD, MN 563035000
3202522422
ST CLOUD HOSPITAL
110 2ND ST S, SUITE 104
WAITE PARK, MN 563871367
3202599375
CARRIS HEALTH LLC
301 BECKER AVE SW
WILLMAR, MN 562013302
3202354543
Source: CMS National Downloadable File, September 2026.