Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1981
NPI: 1447312251
Practice Locations (2)
9400 ZANE AVE N
BROOKLYN PARK, MN 554431814
5995 OREN AVE N, SUITE 203
OAK PARK HEIGHTS, MN 550826379
Source: CMS National Downloadable File, September 2026.