Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2025
NPI: 1922970482
Practice Locations (2)
6776 LAKE DR, SUITE 220
LINO LAKES, MN 550141189
6776 LAKE DR, SUITE 220
LINO LAKES, MN 550141192
Source: CMS National Downloadable File, September 2026.