Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1990
NPI: 1679550438
Practice Locations (2)
ALLINA HEALTH SYSTEM
11850 BLACKFOOT ST NW, SUITE 405
COON RAPIDS, MN 554332773
6127756200
ALLINA HEALTH SYSTEM
800 E 28TH ST, SUITE 1750
MINNEAPOLIS, MN 554073723
6128634495
Source: CMS National Downloadable File, September 2026.