Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1990
NPI: 1861467227
Practice Locations (2)
NORTHWEST FAMILY PHYSICIANS PA
5700 BOTTINEAU BLVD, SUITE 100
CRYSTAL, MN 554293184
7635046500
NORTHWEST FAMILY PHYSICIANS PA
1495 COUNTY RD 101
PLYMOUTH, MN 554473078
7635046500
Source: CMS National Downloadable File, September 2026.