Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1999
NPI: 1275577454
Practice Locations (2)
FAIRVIEW EXPRESS CARE
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
Source: CMS National Downloadable File, September 2026.