Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2004
Also: INTERNAL MEDICINE
NPI: 1700947173
Practice Locations (2)
SOUTHERN CITIES CLINIC
400 4TH ST NW
FARIBAULT, MN 550215031
5073846830
4945 1ST AVE S
MINNEAPOLIS, MN 554195605
6128089375
Source: CMS National Downloadable File, September 2026.