Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2025
NPI: 1144183807
Practice Locations (2)
4801 W 81ST ST, SUITE 103
BLOOMINGTON, MN 554371111
1111 W RIVER PKWY UNIT, 25C
Minneapolis, MN 554157536
Source: CMS National Downloadable File, September 2026.