Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2002
Also: ORAL SURGERY
NPI: 1932156387
Practice Locations (1)
CENTRASOTA ORAL AND MAXILLOFACIAL SURGEONS PA
3950 VETERANS DR, SUITE 100
SAINT CLOUD, MN 563033424
3202523611
Source: CMS National Downloadable File, September 2026.