Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1990
NPI: 1225017247
Practice Locations (2)
MANKATO CLINIC LTD
1230 E MAIN ST
MANKATO, MN 560015066
5073898509
MANKATO CLINIC LTD
1230 MAIN ST E, PO BOX 8674
MANKATO, MN 560028674
5076251811
Source: CMS National Downloadable File, September 2026.