Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1993
NPI: 1639117435
Practice Locations (2)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
CONSULTING RADIOLOGISTS LTD
7595 ANAGRAM DR
EDEN PRAIRIE, MN 553447399
6125732200
Source: CMS National Downloadable File, September 2026.