Graduated: 2020
NPI: 1003418260
Practice Locations (2)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
ALLINA HEALTH SYSTEM
8611 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 550164005
6514581884
Source: CMS National Downloadable File, September 2026.