Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 1994
NPI: 1346268539
Practice Locations (2)
FAIRVIEW CLINICS
15650 CEDAR AVE
APPLE VALLEY, MN 551247283
9529974100
HEALTHEAST MEDICAL RESEARCH INSTITUTE
1875 WOODWINDS DR
WOODBURY, MN 551252298
6512326700
Source: CMS National Downloadable File, September 2026.