Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1942940127
Practice Locations (4)
5901 LINCOLIN DR
EDINA, MN 554361611
PO BOX, 1309 MS 21110Q
Minneapolis, MN 554401309
701 PARK AVE, SL.350
MINNEAPOLIS, MN 554151829
1700 UNIVERSITY AVE W
Saint Paul, MN 551043727
Source: CMS National Downloadable File, September 2026.