Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1994
NPI: 1477587368
Practice Locations (2)
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE, SL 350
MINNEAPOLIS, MN 554151623
Source: CMS National Downloadable File, September 2026.