Graduated: 2023
NPI: 1407549173
Practice Locations (4)
1 OPTUM CIR
EDEN PRAIRIE, MN 553442956
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 551201288
653 GRAND AVE
SAINT PAUL, MN 551053401
3449 HAMILTON AVE
WAYZATA, MN 553913103
Source: CMS National Downloadable File, September 2026.