Medical school: UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1124810205
Practice Locations (2)
3538 OSGOOD CIR N
Stillwater, MN 550826985
9450 SW GEMINI DR
BEAVERTON, OR 970087105
Source: CMS National Downloadable File, September 2026.