Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1987
Also: FAMILY PRACTICE
NPI: 1699740654
Practice Locations (1)
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
404 W FOUNTAIN ST
ALBERT LEA, MN 560072437
5073732384
Source: CMS National Downloadable File, September 2026.