2085R0001X
St Cloud, MN
Specialty
2085R0001X
Credential
MB.,BS
NPI
1639611288
1900 Centracare Cir, St Cloud, MN 56303
(320) 229-4964Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 2085r0001x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 2085R0001X