Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2022
NPI: 1629763479
Practice Locations (5)
515 5TH AVE W
GRAND MARAIS, MN 556043017
2800 WAYZATA BLVD, APT 104
MINNEAPOLIS, MN 554052149
701 PARK AVE
MINNEAPOLIS, MN 554151623
701 PARK AVE
MINNEAPOLIS, MN 554151829
3726 JOPPA AVE S
ST LOUIS PARK, MN 554164940
Source: CMS National Downloadable File, September 2026.