Graduated: 2013
Offers telehealth
NPI: 1275957771
Practice Locations (2)
DIAMOND LAKE CLINIC, P.C.
5939 PORTLAND AVE
MINNEAPOLIS, MN 554173127
6128694444
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
Source: CMS National Downloadable File, September 2026.