Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 2020
NPI: 1972122042
Practice Locations (2)
FAIRVIEW SPECIALTY SERVICES
14500 99TH AVE N
MAPLE GROVE, MN 553694730
7638981000
FAIRVIEW EXPRESS CARE
909 FULTON ST SE
MINNEAPOLIS, MN 554554800
6126727422
Source: CMS National Downloadable File, September 2026.