Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1996
NPI: 1104804962
Practice Locations (2)
8401 GOLDEN VALLEY RD, SUITE 330
Golden Valley, MN 554274686
8401 GOLDEN VALLEY RD, SUITE 330
GOLDEN VALLEY, MN 554274686
Source: CMS National Downloadable File, September 2026.