Graduated: 2014
NPI: 1205451192
Practice Locations (2)
EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION
4300 MARKETPOINTE DR, SUITE 100
BLOOMINGTON, MN 554355435
9528359880
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
2183263401
Source: CMS National Downloadable File, September 2026.