Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2001
NPI: 1356868442
Practice Locations (1)
ACTIVEPT, CORP.
1414 S OAK AVE, SUITE 2
OWATONNA, MN 550603957
5074518254
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2001
NPI: 1356868442
ACTIVEPT, CORP.
1414 S OAK AVE, SUITE 2
OWATONNA, MN 550603957
5074518254
Source: CMS National Downloadable File, September 2026.