Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1023559507
Practice Locations (1)
ACTIVEPT, CORP.
3100 19TH ST NW, SUITE 200
ROCHESTER, MN 559016606
5073223460
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1023559507
ACTIVEPT, CORP.
3100 19TH ST NW, SUITE 200
ROCHESTER, MN 559016606
5073223460
Source: CMS National Downloadable File, September 2026.