Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2002
NPI: 1679633655
Practice Locations (3)
MADISON HEALTHCARE SERVICES
820 3RD AVE
MADISON, MN 562561014
32059875517551
LAC QUI PARLE CLINIC OF MADISON INC
900 2ND AVE
MADISON, MN 562561006
32059875517158
MADISON HEALTHCARE SERVICES
900 2ND AVE
MADISON, MN 562561006
Source: CMS National Downloadable File, September 2026.