Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 2014
NPI: 1013301407
Practice Locations (2)
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
PARK NICOLLET CLINIC
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 554162527
9529933123
Source: CMS National Downloadable File, September 2026.