Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1003436676
Practice Locations (2)
ALLINA HEALTH SYSTEM
8100 W 78TH ST, SUITE 230
EDINA, MN 554392570
9529469777
GROUP HEALTH PLAN INC
640 JACKSON ST
SAINT PAUL, MN 551012502
6512544786
Source: CMS National Downloadable File, September 2026.