Medical school: NEBRASKA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1619230893
Practice Locations (3)
ACTIVEPT, CORP.
1309 SALEM RD SW
ROCHESTER, MN 559020993
5073223460
ACTIVEPT, CORP.
3100 19TH ST NW
ROCHESTER, MN 559016606
5073223460
ACTIVEPT, CORP.
3708 BROADWAY AVE N, SUITE 110
ROCHESTER, MN 559064159
5073223460
Source: CMS National Downloadable File, September 2026.