Medical school: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated: 2025
NPI: 1053291740
Practice Locations (2)
4349 JESSICA CT
EAGAN, MN 551232611
5939 PORTLAND AVE
MINNEAPOLIS, MN 554173127
Source: CMS National Downloadable File, September 2026.