Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1093786469
Practice Locations (3)
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
REGENCY HOSPITAL OF MINNEAPOLIS, LLC
1300 HIDDEN LAKES PKWY
GOLDEN VALLEY, MN 554224286
7635882750
GROUP HEALTH PLAN INC
640 JACKSON ST
SAINT PAUL, MN 551012502
6512213456
Source: CMS National Downloadable File, September 2026.