Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2020
NPI: 1699396721
Practice Locations (3)
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
Staples, MN 564795280
LAKEWOOD HEALTH SYSTEM
49725 COUNTY
STAPLES, MN 564795280
2188941515
LAKEWOOD HEALTH SYSTEM
49725 COUNTY, SUITE 83
STAPLES, MN 564795280
2188941515
Source: CMS National Downloadable File, September 2026.