Graduated: 2024
NPI: 1386483980
Practice Locations (2)
EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA
6099 WAYZATA BLVD, SUITE 200
ST LOUIS PARK, MN 554165538
6128711144
CHI HEALTH CLINIC SPECIALTY LLC
7001 A ST, SUITE 210
LINCOLN, NE 685104205
4024845500
Source: CMS National Downloadable File, September 2026.