Graduated: 2011
NPI: 1003180555
Practice Locations (3)
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
GROUP HEALTH PLAN INC
640 JACKSON ST
SAINT PAUL, MN 551012502
6512213456
REGIONS HOSPITAL
640 JACKSON ST
SAINT PAUL, MN 551012502
6512212164
Source: CMS National Downloadable File, September 2026.