Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1558320283
Practice Locations (2)
ALLINA HEALTH SYSTEM
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
6128634000
ALLINA HEALTH SYSTEM
800 E 28TH ST
MINNEAPOLIS, MN 554073723
Source: CMS National Downloadable File, September 2026.