Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2008
Also: PEDIATRIC MEDICINE
NPI: 1508007659
Practice Locations (2)
GRAND ITASCA CLINIC AND HOSPITAL
111 SE 3RD ST
GRAND RAPIDS, MN 557443663
2183263401
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
2183263401
Source: CMS National Downloadable File, September 2026.