Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1996
Offers telehealth
NPI: 1023190543
Practice Locations (1)
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
909 FULTON ST SE
MINNEAPOLIS, MN 554554800
6126727422
Source: CMS National Downloadable File, September 2026.