Graduated: 2012
NPI: 1265723779
Practice Locations (3)
FAIRVIEW SPECIALTY SERVICES
14500 99TH AVE N
MAPLE GROVE, MN 553694730
6122736228
FAIRVIEW EXPRESS CARE
14500 99TH AVE N, SUITE 100
MAPLE GROVE, MN 553694738
7638981000
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
Source: CMS National Downloadable File, September 2026.