Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2022
NPI: 1174258586
Practice Locations (2)
ALLINA HEALTH SYSTEM
7373 FRANCE AVE S, SUITE 208
EDINA, MN 554354598
9528351311
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
2183263401
Source: CMS National Downloadable File, September 2026.