Medical school: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated: 1998
NPI: 1124180104
Practice Locations (2)
20730 HOLYOKE AVE, SUITE 34
LAKEVILLE, MN 550446346
9524696016
PO BOX, SUITE 154
LAKEVILLE, MN 550440154
Source: CMS National Downloadable File, September 2026.