Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1998
Offers telehealth
NPI: 1154488740
Practice Locations (2)
2639 NICOLLET AVE
MINNEAPOLIS, MN 554081629
6123155145
2639 NICOLLET AVE, SUITE 120
MINNEAPOLIS, MN 554081629
6123155145
Source: CMS National Downloadable File, September 2026.