Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2012
NPI: 1407112253
Practice Locations (1)
EXPANSE - A MINNESOTA MENTAL HEALTH KETAMINE AND PSYCHEDELIC PSYCHOTHE
2701 UNIVERSITY AVE SE, SUITE 204
MINNEAPOLIS, MN 554143236
7632054843
Source: CMS National Downloadable File, September 2026.