Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 2005
NPI: 1588856546
Practice Locations (2)
ACTIVE FEET, FOOT AND ANKLE HEALTH CENTER
6625 LYNDALE AVE S, SUITE 105
RICHFIELD, MN 554232673
6127888778
IN HOUSE SENIOR SERVICES LLC
6625 LYNDALE S AVE, SUITE 105
RICHFIELD, MN 55423
6127888778
Source: CMS National Downloadable File, September 2026.