Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1999
NPI: 1417991696
Practice Locations (6)
HENNEPIN COUNTY
525 PORTLAND AVE
MINNEAPOLIS, MN 554151569
HENNEPIN COUNTY
525 PORTLAND AVE, MC963
MINNEAPOLIS, MN 554151569
HENNEPIN COUNTY
525 PORTLAND AVE S MC
MINNEAPOLIS, MN 554151569
HENNEPIN COUNTY
614 S 3RD ST
MINNEAPOLIS, MN 554151104
6123485553
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE, SL 350
MINNEAPOLIS, MN 554151623
Source: CMS National Downloadable File, September 2026.