Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2020
NPI: 1295341048
Practice Locations (4)
720 WASHINGTON AVE SE, SUITE 200
Minneapolis, MN 554142924
701 PARK AVE
MINNEAPOLIS, MN 554151829
720 WASHINGTON AVE SE, SUITE 300
MINNEAPOLIS, MN 554142904
1406 6TH AVE N
SAINT CLOUD, MN 563031900
Source: CMS National Downloadable File, September 2026.