Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2015
NPI: 1043605140
Practice Locations (2)
FAIRVIEW SPECIALTY SERVICES
1575 BEAM AVE
MAPLEWOOD, MN 551091126
6512327000
HEALTHEAST MEDICAL RESEARCH INSTITUTE
1575 BEAM AVE
MAPLEWOOD, MN 551091126
6512327000
Source: CMS National Downloadable File, September 2026.