Graduated: 2004
NPI: 1467498725
Practice Locations (2)
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
217 RADIO DR
WOODBURY, MN 551255805
6517020750
OTOLARYNGOLOGY AND HEAD AND NECK SURGERY PA
2651 HILLCREST DR, SUITE 302
HUDSON, WI 540169919
6517020750
Source: CMS National Downloadable File, September 2026.