Graduated: 2003
NPI: 1720045735
Practice Locations (6)
CENTRACARE CLINIC
PO BOX
CHICAGO, IL 60673
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
1845 20TH AVE SE, ST SCHOLASTICA CONVENT
SAINT CLOUD, MN 563044612
3202512225
CENTRACARE CLINIC
1200 6TH AVE N
ST CLOUD, MN 563032735
3202525131
Source: CMS National Downloadable File, September 2026.