Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2015
NPI: 1780067033
Practice Locations (2)
FAIRVIEW CLINICS
1440 DUCKWOOD DR
EAGAN, MN 551221451
6514068860
FAIRVIEW CLINICS
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
9529141732
Source: CMS National Downloadable File, September 2026.