Graduated: 1998
NPI: 1376513903
Practice Locations (2)
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
1000 1ST DR NW
AUSTIN, MN 559122941
5074337351
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
800 MEDICAL CTR DR
FAIRMONT, MN 560314575
5072388555
Source: CMS National Downloadable File, September 2026.