Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1986
NPI: 1508964388
Practice Locations (2)
HEALTHEAST MEDICAL RESEARCH INSTITUTE
2945 HAZELWOOD ST, SUITE 100
MAPLEWOOD, MN 551091242
6512327800
FAIRVIEW CLINICS
5200 FAIRVIEW BLVD
WYOMING, MN 550928013
6519827000
Source: CMS National Downloadable File, September 2026.