Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1988
Offers telehealth
NPI: 1801856307
Practice Locations (2)
1575 BEAM AVE
MAPLEWOOD, MN 551091169
6512321978
855 VILLAGE CTR DR, SUITE 107
NORTH OAKS, MN 551273002
Source: CMS National Downloadable File, September 2026.