Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1998
NPI: 1598730756
Practice Locations (1)
WINONA HEALTH SERVICES
855 MANKATO AVE
WINONA, MN 559874868
5074543650
Source: CMS National Downloadable File, September 2026.