Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1988
Also: INTERNAL MEDICINE
NPI: 1225029374
Practice Locations (2)
1900 CENTRACARE CIR
SAINT CLOUD, MN 563035000
1406 6TH AVE NO
ST CLOUD, MN 563031901
Source: CMS National Downloadable File, September 2026.