Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2002
Offers telehealth
NPI: 1336355049
Practice Locations (2)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
MINNESOTA UROLOGY, PA
6025 LAKE RD, SUITE 200
WOODBURY, MN 551251710
6519996800
Source: CMS National Downloadable File, September 2026.