Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1992
Offers telehealth
NPI: 1821005638
Practice Locations (2)
CENTRACARE HEALTH-PAYNESVILLE LLC
200 W 1ST ST
PAYNESVILLE, MN 563621445
3202433767
CENTRACARE CLINIC
1555 NORTHWAY DR, 100 CENTRA CARE CLINIC NORTHWAY FAMILY
ST CLOUD, MN 563031258
3202511775
Source: CMS National Downloadable File, September 2026.