Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1971
NPI: 1922054097
Practice Locations (2)
ST CLOUD HOSPITAL
1406 6TH AVE N
SAINT CLOUD, MN 563031900
3202512700
AUGUSTA MEDICAL GROUP
9 S MEDICAL PARK DR
FISHERSVILLE, VA 229392333
5402457350
Source: CMS National Downloadable File, September 2026.