Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1983
NPI: 1972564987
Practice Locations (2)
ST CLOUD EAR NOSE AND THROAT CLINIC PA
1528 NORTHWAY DR
SAINT CLOUD, MN 563031255
3202520233
ST CLOUD EAR NOSE AND THROAT CLINIC PA
425 ELM N ST
SAUK CENTRE, MN 563781010
3203522221
Source: CMS National Downloadable File, September 2026.