Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1980
NPI: 1093703167
Practice Locations (2)
VITREO RETINAL SURGERY PLLC
3601 W 76TH ST, SUITE 300
EDINA, MN 554353004
VITREO RETINAL SURGERY PLLC
3601 W 76TH ST, SUITE 300
MINNEAPOLIS, MN 554353004
9529291131
Source: CMS National Downloadable File, September 2026.