Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1649359209
Practice Locations (3)
LAKEVIEW CLINIC, LTD.
424 W HWY 5
WACONIA, MN 553871723
LAKEVIEW CLINIC, LTD.
424 W STATE HWY 5
WACONIA, MN 553871723
9524424461
LAKEVIEW CLINIC, LTD.
313 TERRITORIAL ST E
WATERTOWN, MN 553889284
9524424461
Source: CMS National Downloadable File, September 2026.