Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2023
NPI: 1639865140
Practice Locations (4)
FAIRVIEW CLINICS
10000 ZANE AVE N
BROOKLYN PARK, MN 554431400
7635286999
FAIRVIEW CLINICS
1440 DUCKWOOD DR
EAGAN, MN 551221451
6514068860
FAIRVIEW CLINICS
3305 CENTRAL PARK VILLAGE DR
EAGAN, MN 551217707
6514068860
HEALTHEAST MEDICAL RESEARCH INSTITUTE
2945 HAZELWOOD ST, SUITE 100
MAPLEWOOD, MN 551091242
6512327800
Source: CMS National Downloadable File, September 2026.