Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1998
NPI: 1255307740
Practice Locations (3)
HEALTHEAST MEDICAL RESEARCH INSTITUTE
2945 HAZELWOOD ST, SUITE 100
MAPLEWOOD, MN 551091242
6512327800
FAIRVIEW CLINICS
2270 FORD PKWY, SUITE 200
SAINT PAUL, MN 551163412
6516965000
FAIRVIEW CLINICS
319 S MAIN ST
RIVER FALLS, WI 540222452
7154263760
Source: CMS National Downloadable File, September 2026.