Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1366550923
Practice Locations (4)
FAIRVIEW CLINICS
13819 HANSON BLVD NW
ANDOVER, MN 553047608
6126265775
FAIRVIEW CLINICS
201 E NICOLLET BLVD
BURNSVILLE, MN 553375714
9528922000
FAIRVIEW CLINICS
1440 DUCKWOOD DR
EAGAN, MN 551221451
6514068860
FAIRVIEW CLINICS
14500 99TH AVE N, SUITE 100
MAPLE GROVE, MN 553694738
7638981000
Source: CMS National Downloadable File, September 2026.