Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1987
NPI: 1912962184
Practice Locations (6)
FAIRVIEW CLINICS
13819 HANSON BLVD NW
ANDOVER, MN 553047608
6126265775
FAIRVIEW CLINICS
1440 DUCKWOOD DR
EAGAN, MN 551221451
6514068860
FAIRVIEW CLINICS
6341 UNIVERSITY AVE NE
FRIDLEY, MN 554324946
7635725700
FAIRVIEW CLINICS
6341 UNIVERSITY AVE NE, FL 1
FRIDLEY, MN 554324946
7635725705
FAIRVIEW CLINICS
14500 99TH AVE N, SUITE 100
MAPLE GROVE, MN 553694738
7638981000
FAIRVIEW CLINICS
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
9529141732
Source: CMS National Downloadable File, September 2026.