Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1991
Offers telehealth
NPI: 1972526564
Practice Locations (3)
CENTRACARE CLINIC SOUTHWEST LLC
600 PETERSON PKWY
NEW LONDON, MN 562737823
3203542222
CENTRACARE CLINIC SOUTHWEST LLC
1406 6TH AVE N
SAINT CLOUD, MN 563031901
CENTRACARE CLINIC SOUTHWEST LLC
101 WILLMAR AVE SW
WILLMAR, MN 562013556
3202315000
Source: CMS National Downloadable File, September 2026.