Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2004
NPI: 1457592909
Practice Locations (7)
CENTRACARE CLINIC
1200 6TH N AVE
SAINT CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1200 6TH AVE N, CENTRACARE CLIC RIVER CAMPUS
SAINT CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1200 6TH AVE N
SAINT CLOUD, MN 563032735
CENTRACARE CLINIC
1900 CENTRACARE CIR
SAINT CLOUD, MN 563035000
CENTRACARE CLINIC
1200 6TH AVE N
ST CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1406 6TH AVE N
ST CLOUD, MN 563031901
CENTRACARE CLINIC
1406 6TH AVE NO
ST CLOUD, MN 563031901
Source: CMS National Downloadable File, September 2026.