Graduated: 2005
Offers telehealth
NPI: 1285646513
Practice Locations (2)
ALLINA HEALTH SYSTEM
4040 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 554334568
7634279980
PARK NICOLLET CLINIC
6600 EXCELSIOR BLVD, SUITE 160
ST LOUIS PARK, MN 554264713
9529937700
Source: CMS National Downloadable File, September 2026.