Graduated: 2020
NPI: 1457024168
Practice Locations (2)
CENTRACARE CLINIC
12800 ROLLING RIDGE RD
BECKER, MN 553088838
7632617000
ALLINA HEALTH SYSTEM
280 SMITH AVE N, SUITE 700
SAINT PAUL, MN 551022972
6512416800
Source: CMS National Downloadable File, September 2026.