Graduated: 2007
NPI: 1457572968
Practice Locations (4)
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.