Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1988
NPI: 1801873658
Practice Locations (2)
MAYO CLINIC
5777 E MAYO BLVD
PHOENIX, AZ 850544502
4803422000
MAYO CLINIC
200 1ST ST SW
ROCHESTER, MN 559050001
5072842511
Source: CMS National Downloadable File, September 2026.