Graduated: 2019
NPI: 1366823692
Practice Locations (3)
UNIVERSITY ANESTHESIA PROVIDERS LLC
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
6122734097
CENTRACARE CLINIC
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 563032253
3202583090
CENTRACARE CLINIC SOUTHWEST LLC
101 WILLMAR AVE SW
WILLMAR, MN 562013556
3202315000
Source: CMS National Downloadable File, September 2026.