Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1998
NPI: 1154312510
Practice Locations (2)
NORTHWEST FAMILY PHYSICIANS PA
5700 BOTTINEAU BLVD, SUITE 100
CRYSTAL, MN 554293184
7635046500
NORTHWEST FAMILY PHYSICIANS PA
1495 COUNTY RD 101
PLYMOUTH, MN 554473078
7635046500
Source: CMS National Downloadable File, September 2026.