Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1073576203
Practice Locations (2)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
ALLINA HEALTH SYSTEM
100 STATE AVE
FARIBAULT, MN 550216337
5073343921
Source: CMS National Downloadable File, September 2026.