Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2016
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1174987275
Practice Locations (1)
CENTRACARE CLINIC
1200 6TH N AVE
SAINT CLOUD, MN 563032735
3202525131
Source: CMS National Downloadable File, September 2026.