Graduated: 2022
NPI: 1538872916
Practice Locations (4)
6160 SUMMIT DR N, SUITE 200
BROOKLYN CENTER, MN 554302181
12153 72ND ST NE
OTSEGO, MN 553305064
250 SKILLMAN ST, SUITE 204
BROOKLYN, NY 112054812
831 BEDFORD AVE, SUITE 530
BROOKLYN, NY 112052801
Source: CMS National Downloadable File, September 2026.