Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1548743446
Practice Locations (2)
CENTRACARE HEALTH SYSTEM-NR LLC
1013 HART BLVD
MONTICELLO, MN 553628575
7632952945
CENTRACARE CLINIC
1200 6TH AVE N, CENTRACARE CLIC RIVER CAMPUS
SAINT CLOUD, MN 563032735
3202525131
Source: CMS National Downloadable File, September 2026.