Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1225004831
Practice Locations (1)
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
404 W FOUNTAIN ST
ALBERT LEA, MN 560072437
5073732384
Source: CMS National Downloadable File, September 2026.