Graduated: 2013
NPI: 1568897205
Practice Locations (2)
MAYO CLINIC
200 1ST ST SW
ROCHESTER, MN 559050001
5072842511
CENTRACARE CLINIC
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 563032253
3202583090
Source: CMS National Downloadable File, September 2026.