Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2005
NPI: 1477582880
Practice Locations (1)
GROUP HEALTH PLAN INC
205 WABASHA AVE S
SAINT PAUL, MN 551071805
6512273757
Source: CMS National Downloadable File, September 2026.