Graduated: 2019
NPI: 1407401466
Practice Locations (5)
CITY AND COUNTY OF SAN FRANCISCO
1490 MASON ST
SAN FRANCISCO, CA 941334222
4153647600
HENNEPIN COUNTY
525 PORTLAND AVE
MINNEAPOLIS, MN 554151569
HENNEPIN COUNTY
525 PORTLAND AVE, MC963
MINNEAPOLIS, MN 554151569
HENNEPIN COUNTY
525 PORTLAND AVE S MC
MINNEAPOLIS, MN 554151569
HENNEPIN COUNTY
614 S 3RD ST
MINNEAPOLIS, MN 554151104
6123485553
Source: CMS National Downloadable File, September 2026.