Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2001
NPI: 1164205365
Practice Locations (2)
FAIRVIEW HEALTH SERVICES
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
6122737838
HEALTHEAST MEDICAL RESEARCH INSTITUTE
1925 WOODWINDS DR
WOODBURY, MN 551254445
6512320395
Source: CMS National Downloadable File, September 2026.