Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2021
NPI: 1639751092
Practice Locations (3)
FAIRVIEW CLINICS
1440 DUCKWOOD DR
EAGAN, MN 551221451
6514068860
FAIRVIEW CLINICS
6401 FRANCE AVE S
EDINA, MN 554352104
9529245000
FAIRVIEW CLINICS
5200 FAIRVIEW BLVD
WYOMING, MN 550928013
6519827000
Source: CMS National Downloadable File, September 2026.