Graduated: 1978
NPI: 1467517920
Practice Locations (2)
FAIRVIEW EXPRESS CARE
500 HARVARD ST SE
MINNEAPOLIS, MN 554550363
6126727422
UNIVERSITY OF MINNESOTA PHYSICIANS
516 15TH AVE SE, SUITE 190E
MINNEAPOLIS, MN 554550130
6126262066
Source: CMS National Downloadable File, September 2026.