Graduated: 2019
NPI: 1720628480
Practice Locations (2)
ALLINA HEALTH SYSTEM
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
6512627633
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2153498310
Source: CMS National Downloadable File, September 2026.