Medical school: MAYO MEDICAL SCHOOL
Graduated: 2001
Also: ORAL SURGERY
NPI: 1801876792
Practice Locations (2)
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LTD
1903 S 6TH ST
BRAINERD, MN 564014599
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LTD
1903 S 6TH ST, SUITE 4
BRAINERD, MN 564014599
2188291728
Source: CMS National Downloadable File, September 2026.