Graduated: 2006
NPI: 1285865386
Practice Locations (4)
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
11020 161ST ST W
LAKEVILLE, MN 550446507
6517020750
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
3590 ARCADE ST
VADNAIS HEIGHTS, MN 551277135
6517020750
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
215 RADIO DR, SUITE 202
WOODBURY, MN 551255805
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
217 RADIO DR
WOODBURY, MN 551255805
6517020750
Source: CMS National Downloadable File, September 2026.