Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1999
NPI: 1033178538
Practice Locations (2)
ALLINA HEALTH SYSTEM
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 554332522
7632366000
ALLINA HEALTH SYSTEM
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
6128634000
Source: CMS National Downloadable File, September 2026.