Graduated: 2018
NPI: 1669963781
Practice Locations (2)
MAYO CLINIC
200 1ST ST SW
ROCHESTER, MN 559050001
5072842511
ACTIVEPT, CORP.
3708 BROADWAY AVE N, SUITE 110
ROCHESTER, MN 559064159
5073223460
Source: CMS National Downloadable File, September 2026.