Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1982
NPI: 1770636771
Practice Locations (2)
1660 HWY 100 S, SUITE 306
ST LOUIS PARK, MN 554161563
9525445719
1660 S HWY 100, SUITE 306
ST LOUIS PARK, MN 554161562
Source: CMS National Downloadable File, September 2026.