Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1996
Also: PEDIATRIC MEDICINE
Offers telehealth
NPI: 1194773291
Practice Locations (1)
FAIRVIEW CLINICS
3305 CENTRAL PARK VILLAGE DR, SUITE 200
EAGAN, MN 551217707
6514068860
Source: CMS National Downloadable File, September 2026.