Graduated: 2017
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1124569413
Practice Locations (2)
FAIRVIEW SPECIALTY SERVICES
14500 99TH AVE N
MAPLE GROVE, MN 553694730
6122736228
FAIRVIEW EXPRESS CARE
500 HARVARD ST SE
MINNEAPOLIS, MN 554550363
6126727422
Source: CMS National Downloadable File, September 2026.