Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 2000
Also: SPORTS MEDICINE
NPI: 1033184213
Practice Locations (2)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
ALLINA HEALTH SYSTEM
8100 W 78TH ST, SUITE 100
EDINA, MN 554392529
9529148100
Source: CMS National Downloadable File, September 2026.