Graduated: 1998
NPI: 1164734471
Practice Locations (7)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
LIFE MEDICAL PA
4201 EXCELSIOR BLVD
MINNEAPOLIS, MN 554164728
NORTH MEMORIAL HEALTH CARE
8100 42ND AVE N
NEW HOPE, MN 554271107
7635812273
LIFE MEDICAL PA
4201 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 554164728
9529338900
LIFE MEDICAL PA
225 UNIVERSITY AVE W, SUITE 122
SAINT PAUL, MN 551033905
6515286169
LIFE MEDICAL PA
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 554164728
MINNESOTA MEDICAL AND REHABILITATIVE SERVICES LLC
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 554164728
9525643880
Source: CMS National Downloadable File, September 2026.