Graduated: 2011
NPI: 1447813431
Practice Locations (2)
CENTRACARE CLINIC
1900 CENTRACARE CIR
SAINT CLOUD, MN 563035000
3206543630
CENTRACARE CLINIC SOUTHWEST LLC
101 WILLMAR AVE SW
WILLMAR, MN 562013556
3202315000
Source: CMS National Downloadable File, September 2026.