Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1990
NPI: 1194701979
Practice Locations (1)
FAIRVIEW CLINICS
3305 CENTRAL PARK VILLAGE DR, SUITE 200
EAGAN, MN 551217707
6514068860
Source: CMS National Downloadable File, September 2026.