Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2011
NPI: 1649371352
Practice Locations (3)
701 PARK AVE, SL350
MINNEAPOLIS, MN 554151623
HCMC PROVIDER ENROLLMENT, 701 PARK AVE SL350
MINNEAPOLIS, MN 554151623
HENNEPIN COUNTY MEDICAL CTR PHYSICIAN SERVICES, 701 PARK AVE
MINNEAPOLIS, MN 554151623
Source: CMS National Downloadable File, September 2026.