Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1980
Offers telehealth
NPI: 1306819172
Practice Locations (1)
SOUTH METRO HUMAN SERVICES
166 4TH ST E, SUITE 200
SAINT PAUL, MN 551011667
6512911979
Source: CMS National Downloadable File, September 2026.