Medical school: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated: 1982
NPI: 1356325906
Practice Locations (2)
515 DELAWARE ST SE, 7 220 MOOS TOWER
MINNEAPOLIS, MN 554550329
515 DELAWARE ST SE, 7 220 MOOS TOWER
MINNEAPOLIS, MN 554550357
Source: CMS National Downloadable File, September 2026.