Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1993
NPI: 1083664130
Practice Locations (2)
PORTAGES HEALTH LLC
310 4TH AVE S
MINNEAPOLIS, MN 554151053
3204922232
PORTAGES HEALTH LLC
310 4TH AVE S, SUITE 5010
MINNEAPOLIS, MN 554151053
3204922232
Source: CMS National Downloadable File, September 2026.