Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1992749584
Practice Locations (2)
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
GILLETTE CHILDRENS SPECIALTY HEALTHCARE
200 UNIVERSITY AVE E
SAINT PAUL, MN 551012507
6512912848
Source: CMS National Downloadable File, September 2026.