Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1974
NPI: 1386674521
Practice Locations (2)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
KEY CORPORATION
1394 JACKSON ST, SUITE 201
SAINT PAUL, MN 551174630
6123155866
Source: CMS National Downloadable File, September 2026.