Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2010
NPI: 1255656997
Practice Locations (2)
CENTRACARE CLINIC SOUTHWEST LLC
600 PETERSON PKWY
NEW LONDON, MN 562737823
3203542222
CENTRACARE CLINIC
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 563032253
3202583090
Source: CMS National Downloadable File, September 2026.