Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1993
Also: FAMILY PRACTICE
NPI: 1164498127
Practice Locations (9)
CENTRACARE CLINIC
PO BOX
CHICAGO, IL 60673
CENTRACARE CLINIC
1200 6TH AVE N, CENTRACARE CLIC RIVER CAMPUS
SAINT CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1200 6TH N AVE
SAINT CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1200 6TH AVE N
SAINT CLOUD, MN 563032735
CENTRACARE CLINIC
1900 CENTRACARE CIR
SAINT CLOUD, MN 563035000
CENTRACARE CLINIC
1406 6TH AVE NO
ST CLOUD, MN 563031901
CENTRACARE CLINIC
1200 6TH AVE N
ST CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1406 6TH AVE N
ST CLOUD, MN 563031901
CENTRACARE CLINIC
301 BECKER AVE SW, RICE MEMORIAL HOSPTIAL
WILLMAR, MN 562013302
3202354543
Source: CMS National Downloadable File, September 2026.