Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1995
NPI: 1306877709
Practice Locations (2)
FAIRVIEW EXPRESS CARE
14500 99TH AVE N
MAPLE GROVE, MN 553694730
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
Source: CMS National Downloadable File, September 2026.