Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1995
Offers telehealth
NPI: 1912096769
Practice Locations (1)
HEALTHEAST MEDICAL RESEARCH INSTITUTE
6936 PINE ARBOR DR S, SUITE 100
COTTAGE GROVE, MN 550164661
6513265800
Source: CMS National Downloadable File, September 2026.