Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1033115118
Practice Locations (2)
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE, SL 350
MINNEAPOLIS, MN 554151623
Source: CMS National Downloadable File, September 2026.