Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1997
Offers telehealth
NPI: 1437198769
Practice Locations (2)
HEALTHEAST MEDICAL RESEARCH INSTITUTE
2945 HAZELWOOD ST, SUITE 100
MAPLEWOOD, MN 551091242
6512327800
FAIRVIEW SPECIALTY SERVICES
2945 HAZELWOOD ST, SUITE 200
MAPLEWOOD, MN 551091243
6122733780
Source: CMS National Downloadable File, September 2026.