Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2019
NPI: 1326600123
Practice Locations (1)
ACTIVE FEET, FOOT AND ANKLE HEALTH CENTER
6625 LYNDALE AVE S, SUITE 105
RICHFIELD, MN 554232673
6127888778
Source: CMS National Downloadable File, September 2026.