Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2014
NPI: 1164994026
Practice Locations (2)
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
Source: CMS National Downloadable File, September 2026.