Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1976
NPI: 1518980192
Practice Locations (2)
112 N ST OLAF AVE, CANBY COMM HEALTH SE
CANBY, MN 562201372
6516998269
1282 WALNUT ST
DAWSON, MN 562322333
3207694323
Source: CMS National Downloadable File, September 2026.