Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2000
Offers telehealth
NPI: 1982648929
Practice Locations (2)
SOUTHWESTERN MENTAL HEALTH CENTER INC
117 S SPRING ST
LUVERNE, MN 561561916
5072839511
POLK COUNTY-DEPT OF ADMINISTRATION
100 POLK COUNTY PLZ, SUITE 180
BALSAM LAKE, WI 548108009
7154858563
Source: CMS National Downloadable File, September 2026.