Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1995
NPI: 1245221647
Practice Locations (2)
LEE HEALTH SYSTEM INC
9981 S HEALTHPARK DR
FORT MYERS, FL 339083618
2393432606
FAIRVIEW CLINICS
580 RICE ST
SAINT PAUL, MN 551032148
6512276551
Source: CMS National Downloadable File, September 2026.