Graduated: 1983
NPI: 1457342032
Practice Locations (2)
CENTRACARE CLINIC
20 9TH ST SE, CENTRACARE HEALTH SYS LONG PRAIRIE
LONG PRAIRIE, MN 563471404
3207322141
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
50 CENTRACARE DR
LONG PRAIRIE, MN 563472100
3207322141
Source: CMS National Downloadable File, September 2026.