Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1977
NPI: 1720011034
Practice Locations (2)
FAIRVIEW CLINICS
1440 DUCKWOOD DR
EAGAN, MN 551221451
6514068860
FAIRVIEW CLINICS
2020 E 28TH ST
MINNEAPOLIS, MN 554071394
6123330770
Source: CMS National Downloadable File, September 2026.