Graduated: 2010
NPI: 1306151675
Practice Locations (2)
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
404 W FOUNTAIN ST
ALBERT LEA, MN 560072437
5073732384
MAYO CLINIC HEALTH SYSTEM-LAKE CITY
500 W GRANT ST
LAKE CITY, MN 550411143
6513453321
Source: CMS National Downloadable File, September 2026.