Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 2000
NPI: 1205933553
Practice Locations (3)
ACTIVE FEET, FOOT AND ANKLE HEALTH CENTER
6625 LYNDALE AVE S, SUITE 105
RICHFIELD, MN 554232673
6127888778
IN HOUSE SENIOR SERVICES LLC
6625 LYNDALE AVE S, SUITE 105
RICHFIELD, MN 554232673
6122438999
IN HOUSE SENIOR SERVICES LLC
674 290TH ST
WILSON, WI 540272452
6122438999
Source: CMS National Downloadable File, September 2026.