Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1992
Offers telehealth
NPI: 1548348055
Practice Locations (1)
FAIRVIEW CLINICS
13819 HANSON BLVD NW
ANDOVER, MN 553047608
7635725700
Source: CMS National Downloadable File, September 2026.