Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1407817034
Practice Locations (2)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
ALLINA HEALTH SYSTEM
7373 FRANCE AVE S, SUITE 202
EDINA, MN 554354551
9528351311
Source: CMS National Downloadable File, September 2026.