Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1518847276
Practice Locations (2)
2653 COUNTY RD, SUITE 74
SAINT CLOUD, MN 56301
6340 RIDGEWOOD RD, UNIT 341
SAINT CLOUD, MN 563031435
Source: CMS National Downloadable File, September 2026.