Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 2022
NPI: 1811867138
Practice Locations (3)
PO BOX, SUITE 43
MINNEAPOLIS, MN 55440
500 S MAPLE ST
WACONIA, MN 553871752
500 S MAPLE ST
WACONIA, MN 553871791
Source: CMS National Downloadable File, September 2026.