Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2020
NPI: 1023645678
Practice Locations (2)
NORTHERN PINES MEDICAL CENTER
5211 HWY 110
AURORA, MN 557051522
2182293311
ST MARYS MEDICAL CENTER
402 E 2ND ST
DULUTH, MN 558051906
2187864000
Source: CMS National Downloadable File, September 2026.