Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1976
Also: GENERAL SURGERY
NPI: 1508818824
Practice Locations (1)
MINNESOTA MEDICAL AND REHABILITATIVE SERVICES LLC
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 554164728
9525643880
Source: CMS National Downloadable File, September 2026.