Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1979
NPI: 1154390227
Practice Locations (5)
HENNEPIN HEALTHCARE SYSTEM INC
2810 NICOLLET AVE
MINNEAPOLIS, MN 554084708
6128736963
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE, SL 350
MINNEAPOLIS, MN 554151623
MILLE LACS HEALTH SYSTEM
200 ELM ST N
ONAMIA, MN 563597901
3205322750
MILLE LACS HEALTH SYSTEM
200 ELM ST N, PO BOX A
ONAMIA, MN 563597901
Source: CMS National Downloadable File, September 2026.