Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1999
Offers telehealth
NPI: 1043302177
Practice Locations (3)
1068 LAKE ST S, SUITE 109
FOREST LAKE, MN 550252633
6518292122
563 BIELENBERG DR, SUITE 125
WOODBURY, MN 551254426
563 BIELENBERG DR, SUITE 125
WOODBURY, MN 551254483
6512162972
Source: CMS National Downloadable File, September 2026.