Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2003
NPI: 1336381185
Practice Locations (3)
GILLETTE CHILDRENS SPECIALTY HEALTHCARE
200 UNIVERSITY AVE E
SAINT PAUL, MN 551012507
6512912848
GILLETTE CHILDRENS SPECIALTY HEALTHCARE
435 PHALEN BLVD
SAINT PAUL, MN 551305302
6516369443
GROUP HEALTH PLAN INC
640 JACKSON ST
SAINT PAUL, MN 551012502
6512213456
Source: CMS National Downloadable File, September 2026.