Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1999
NPI: 1770506016
Practice Locations (2)
ALLINA HEALTH SYSTEM
7373 FRANCE AVE S, SUITE 208
EDINA, MN 554354598
9528351311
ALLINA HEALTH SYSTEM
800 E 28TH ST
MINNEAPOLIS, MN 554073723
6128634762
Source: CMS National Downloadable File, September 2026.