Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1994
NPI: 1295771558
Practice Locations (2)
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
3590 ARCADE ST
VADNAIS HEIGHTS, MN 551277135
6517020750
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
2651 HILLCREST DR, SUITE 302
HUDSON, WI 540169919
6517020750
Source: CMS National Downloadable File, September 2026.