Medical school: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1679554745
Practice Locations (2)
CENTRACARE HEALTH SYSTEM - MELROSE
525 MAIN ST W
MELROSE, MN 563521043
3202564231
CENTRACARE CLINIC
525 MAIN ST W, CENTRACARE HEALTH SYS MELROSE
MELROSE, MN 563521043
3202564231
Source: CMS National Downloadable File, September 2026.