Graduated: 2006
NPI: 1396763694
Practice Locations (3)
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
11020 161ST ST W
LAKEVILLE, MN 550446507
6517020750
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
3590 ARCADE ST
VADNAIS HEIGHTS, MN 551277135
6517020750
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
2651 HILLCREST DR, SUITE 302
HUDSON, WI 540169919
6517020750
Source: CMS National Downloadable File, September 2026.