Graduated: 2001
NPI: 1295841062
Practice Locations (2)
ALLINA HEALTH SYSTEM
440 ELM ST E
ANNANDALE, MN 553021109
3206825225
ALLINA HEALTH SYSTEM
6001 96TH LN N, SUITE 100
BROOKLYN PARK, MN 554454602
9529469777
Source: CMS National Downloadable File, September 2026.