Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1989
NPI: 1699882001
Practice Locations (2)
ASTERA HEALTH
415 JEFFERSON N ST
WADENA, MN 564821264
ASTERA HEALTH
415 JEFFERSON ST N
WADENA, MN 564821264
2186317495
Source: CMS National Downloadable File, September 2026.