Medical school: MAYO MEDICAL SCHOOL
Graduated: 1985
NPI: 1588632376
Practice Locations (2)
CHILDREN'S CLINIC NETWORK
8500 EDINBROOK PKWY
BROOKLYN PARK, MN 554433720
7634251211
CHILDREN'S CLINIC NETWORK
1547 LIVINGSTON AVE
WEST SAINT PAUL, MN 551183411
6514518050
Source: CMS National Downloadable File, September 2026.