Graduated: 1999
NPI: 1013943380
Practice Locations (2)
EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA
9822 HOSPITAL DR
MAPLE GROVE, MN 553694648
6128711144
EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA
6099 WAYZATA BLVD, SUITE 200
ST LOUIS PARK, MN 554165538
6128711144
Source: CMS National Downloadable File, September 2026.