Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1998
NPI: 1669586491
Practice Locations (2)
ALLINA HEALTH SYSTEM
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
6128634000
ALLINA HEALTH SYSTEM
2855 CAMPUS DR
PLYMOUTH, MN 554412649
7635777160
Source: CMS National Downloadable File, September 2026.