Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2002
NPI: 1497721765
Practice Locations (2)
FAIRVIEW CLINICS
14500 99TH AVE N, SUITE 100
MAPLE GROVE, MN 553694738
7638981000
HEALTHEAST MEDICAL RESEARCH INSTITUTE
2945 HAZELWOOD ST, SUITE 100
MAPLEWOOD, MN 551091242
6512327800
Source: CMS National Downloadable File, September 2026.