207XX0005X
St Cloud, MN
Specialty
207XX0005X
Credential
MD, FRCSC
NPI
1902381148
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 207xx0005x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 207XX0005X