Graduated: 2003
NPI: 1922011469
Practice Locations (3)
101 6TH AVE, SUITE 109
PRINCETON, MN 553711819
101 6TH AVE S, SUITE 109
PRINCETON, MN 553711852
7636313277
101 6TH S AVE, SUITE 109
PRINCETON, MN 553711852
Source: CMS National Downloadable File, September 2026.