Graduated: 2000
NPI: 1689664344
Practice Locations (8)
ST CLOUD HOSPITAL
1900 CENTRACARE CIR, SUITE 2400
SAINT CLOUD, MN 563035000
3202522422
CENTRACARE CLINIC
1200 6TH AVE N
SAINT CLOUD, MN 563032735
CENTRACARE CLINIC
1200 6TH AVE N, CENTRACARE CLIC RIVER CAMPUS
SAINT CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1200 6TH N AVE
SAINT CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1406 6TH AVE N
ST CLOUD, MN 563031901
CENTRACARE CLINIC
1200 6TH AVE N
ST CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1406 6TH AVE NO
ST CLOUD, MN 563031901
ST CLOUD HOSPITAL
110 2ND ST S, SUITE 104
WAITE PARK, MN 563871367
3202599375
Source: CMS National Downloadable File, September 2026.