Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1978
NPI: 1598848731
Practice Locations (2)
CENTRACARE CLINIC
1900 CENTRACARE CIR
SAINT CLOUD, MN 563035000
3206543630
CENTRACARE CLINIC SOUTHWEST LLC
502 2ND ST SW
WILLMAR, MN 562013337
3202318888
Source: CMS National Downloadable File, September 2026.