Graduated: 1986
NPI: 1851369334
Practice Locations (3)
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
UNIVERSITY PHYSICIANS OF BROOKLYN, INC.
450 CLARKSON AVE
BROOKLYN, NY 112032012
7182702310
Source: CMS National Downloadable File, September 2026.