Graduated: 2022
NPI: 1316761588
Practice Locations (2)
GROUP HEALTH PLAN INC
2500 COMO AVE
SAINT PAUL, MN 551081460
6516416200
PARK NICOLLET CLINIC
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 554162527
9529933123
Source: CMS National Downloadable File, September 2026.