Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1993
NPI: 1407852197
Practice Locations (2)
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
CENTRACARE CLINIC SOUTHWEST LLC
502 2ND ST SW
WILLMAR, MN 562013337
3202318888
Source: CMS National Downloadable File, September 2026.