Medical school: MAYO MEDICAL SCHOOL
Graduated: 2018
NPI: 1942717046
Practice Locations (4)
GLACIAL RIDGE HOSPITAL DISTRICT
10 4TH AVE SE
GLENWOOD, MN 563341820
3206344521
CENTRACARE CLINIC
3701 12TH ST N, SUITE 202
SAINT CLOUD, MN 563032253
3202583090
CENTRACARE CLINIC SOUTHWEST LLC
101 WILLMAR AVE SW
WILLMAR, MN 562013556
3202315000
SANFORD HEALTH NETWORK
1018 6TH AVE
WORTHINGTON, MN 561872202
5073723800
Source: CMS National Downloadable File, September 2026.