Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2010
NPI: 1467772707
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1915 E REZANOF DR
KODIAK, AK 996156602
9074863281
WELIA HEALTH
301 HWY 65 S
MORA, MN 550511899
3206791212
Source: CMS National Downloadable File, September 2026.