Graduated: 1990
NPI: 1720016587
Practice Locations (3)
NORTH CLINIC PA
5109 36TH AVE N
CRYSTAL, MN 554222007
7635877900
NORTH CLINIC PA
9825 HOSPITAL DR, SUITE 300
MAPLE GROVE, MN 553694768
7635877900
NORTH CLINIC PA
50 CENTRAL AVE
OSSEO, MN 553691241
7635877900
Source: CMS National Downloadable File, September 2026.