Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1987
Also: DIAGNOSTIC RADIOLOGY
NPI: 1821077876
Practice Locations (2)
GROUP HEALTH PLAN INC
640 JACKSON ST
SAINT PAUL, MN 551012502
6512544786
PARK NICOLLET CLINIC
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 554264702
9529933123
Source: CMS National Downloadable File, September 2026.