Medical school: PACIFIC MEDICAL COLLEGE
Graduated: 2005
NPI: 1194915587
Practice Locations (2)
FAIRVIEW EXPRESS CARE
14712 VICTOR HUGO BLVD N
HUGO, MN 550386419
6514661950
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
Source: CMS National Downloadable File, September 2026.