Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2009
NPI: 1518192053
Practice Locations (2)
HENNEPIN COUNTY
1313 PENN N AVE
MINNEAPOLIS, MN 554113047
6125432500
AMHERST H. WILDER FOUNDATION
451 LEXINGTON PKWY N
SAINT PAUL, MN 551044636
6512802310
Source: CMS National Downloadable File, September 2026.