Medical school: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated: 1984
NPI: 1205856713
Practice Locations (1)
ACTIVE FEET, FOOT AND ANKLE HEALTH CENTER
6625 LYNDALE AVE S, SUITE 105
RICHFIELD, MN 554232673
6127888778
Source: CMS National Downloadable File, September 2026.