Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1991
NPI: 1083620769
Practice Locations (2)
OPTAGE INC
2945 LINCOLN DR
ROSEVILLE, MN 551131338
6516316570
FAMILY HEALTHSERVICES MINNESOTA PA
1050 LARPENTEUR AVE W
SAINT PAUL, MN 551136556
6517884444
Source: CMS National Downloadable File, September 2026.