Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2001
NPI: 1316011729
Practice Locations (2)
ASTERA HEALTH
415 JEFFERSON N ST
WADENA, MN 564821264
ASTERA HEALTH
415 JEFFERSON ST N
WADENA, MN 564821264
2186317495
Source: CMS National Downloadable File, September 2026.