Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2002
NPI: 1083813182
Practice Locations (3)
FAIRVIEW CLINICS
2849 JOHNSON ST NE
MINNEAPOLIS, MN 554183055
6126721900
FAIRVIEW EXPRESS CARE
909 FULTON ST SE
MINNEAPOLIS, MN 554554800
6126727422
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
909 FULTON ST SE
MINNEAPOLIS, MN 554554800
6126727422
Source: CMS National Downloadable File, September 2026.