Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1417036872
Practice Locations (2)
HENNEPIN COUNTY
1009 E 14TH ST
MINNEAPOLIS, MN 554041314
6123485553
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
Source: CMS National Downloadable File, September 2026.