Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1487757084
Practice Locations (2)
ALLINA HEALTH SYSTEM
800 E 28TH ST, SUITE 401
MINNEAPOLIS, MN 554073723
6128630200
SSM MEDICAL GROUP INC
400 MEDICAL PLZ, SUITE 100
LAKE ST LOUIS, MO 633671493
6366398600
Source: CMS National Downloadable File, September 2026.