Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1977
NPI: 1164449989
Practice Locations (2)
FAIRVIEW EXPRESS CARE
14101 FAIRVIEW DR, SUITE 140
BURNSVILLE, MN 553372515
6123655000
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
Source: CMS National Downloadable File, September 2026.