Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2004
Offers telehealth
NPI: 1912929357
Practice Locations (1)
HEALTHEAST MEDICAL RESEARCH INSTITUTE
2945 HAZELWOOD ST, SUITE 200
MAPLEWOOD, MN 551091243
6513269462
Source: CMS National Downloadable File, September 2026.