Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1902897051
Practice Locations (6)
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
1200 6TH AVE N
ST CLOUD, MN 563032735
3202525131
CENTRACARE CLINIC
1406 6TH AVE N
ST CLOUD, MN 563031901
CENTRACARE CLINIC
1406 6TH AVE NO
ST CLOUD, MN 563031901
Source: CMS National Downloadable File, September 2026.