Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2021
NPI: 1215563606
Practice Locations (3)
1501 W CHISHOLM ST
ALPENA, MI 497071401
4000 WELLNESS DR
MIDLAND, MI 486702000
PO BOX, SUITE 43
MINNEAPOLIS, MN 55440
Source: CMS National Downloadable File, September 2026.