Graduated: 2020
NPI: 1003491366
Practice Locations (2)
ALLINA HEALTH SYSTEM
1540 LAKE ST S
FOREST LAKE, MN 550252628
6514647100
ALLINA HEALTH SYSTEM
225 SMITH AVE N, SUITE 400
ST PAUL, MN 551022568
6512417176
Source: CMS National Downloadable File, September 2026.