Graduated: 2006
NPI: 1346558228
Practice Locations (3)
HENNEPIN COUNTY
165 GLENWOOD AVE
MINNEAPOLIS, MN 554051618
6123485553
HENNEPIN COUNTY
2740 1ST AVE S
MINNEAPOLIS, MN 554081611
6123485553
HENNEPIN COUNTY
614 S 3RD ST
MINNEAPOLIS, MN 554151104
6123485553
Source: CMS National Downloadable File, September 2026.