Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2017
NPI: 1578099107
Practice Locations (5)
CENTRACARE CLINIC SOUTHWEST LLC
600 PETERSON PKWY
NEW LONDON, MN 562737823
3203542222
GROUP HEALTH PLAN INC
403 STAGELINE RD
HUDSON, WI 540167848
7155316700
GROUP HEALTH PLAN INC
405 STAGELINE RD
HUDSON, WI 540167848
6512651999
GROUP HEALTH PLAN INC
411 STAGELINE RD, SUITE 200
HUDSON, WI 540167848
7155316700
GROUP HEALTH PLAN INC
744 E LOUISIANA ST
SAINT CROIX FALLS, WI 540249501
8665446741
Source: CMS National Downloadable File, September 2026.