Graduated: 1994
NPI: 1477554970
Practice Locations (2)
UNIVERSITY ANESTHESIA PROVIDERS LLC
14500 99TH AVE N
MAPLE GROVE, MN 553694730
7638981000
MNGI DIGESTIVE HEALTH PA
3001 BROADWAY ST NE, SUITE 500
MINNEAPOLIS, MN 554132197
6128711145
Source: CMS National Downloadable File, September 2026.