Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1991
Offers telehealth
NPI: 1205812864
Practice Locations (1)
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
101 MARTIN LUTHER KING DR, JR
MANKATO, MN 560016460
5073856500
Source: CMS National Downloadable File, September 2026.