Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1995
NPI: 1649248162
Practice Locations (2)
EPIPHANY DERMATOLOGY OF MINNESOTA LLC
2718 EKKO AVE
ALBERT LEA, MN 560072070
5073732270
EPIPHANY DERMATOLOGY OF MINNESOTA LLC
20520 KEOKUK AVE, SUITE 104
LAKEVILLE, MN 550446085
9524695033
Source: CMS National Downloadable File, September 2026.