Graduated: 2022
NPI: 1508693961
Practice Locations (2)
MENTAL HEALTH SPECIALTY GROUP PA
729 WASHINGTON AVE N, SUITE 600
MINNEAPOLIS, MN 554011118
3232057088
GATEWAY FAMILY HEALTH CLINIC, LTD.
4570 CTY HWY 61
MOOSE LAKE, MN 557679401
2184854491
Source: CMS National Downloadable File, September 2026.