Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2000
NPI: 1669452314
Practice Locations (1)
WHITE BEAR FOOT AND ANKLE CLINIC INC
4520 CENTERVILLE RD, SUITE 2
WHITE BEAR LAKE, MN 551273602
6514263995
Source: CMS National Downloadable File, September 2026.