Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2007
NPI: 1164673190
Practice Locations (2)
ST CLOUD HOSPITAL
1406 6TH AVE N
SAINT CLOUD, MN 563031900
3202512700
CENTRACARE CLINIC
1301 33RD ST S
ST CLOUD, MN 563019668
3202518181
Source: CMS National Downloadable File, September 2026.