Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2010
Offers telehealth
NPI: 1063739266
Practice Locations (1)
EXPANSE - A MINNESOTA MENTAL HEALTH KETAMINE AND PSYCHEDELIC PSYCHOTHE
7766 HWY 65 NE
SPRING LAKE PARK, MN 554322832
7632054843
Source: CMS National Downloadable File, September 2026.