Graduated: 1994
NPI: 1518038959
Practice Locations (2)
FAIRVIEW EXPRESS CARE
909 FULTON ST SE
MINNEAPOLIS, MN 554554800
6126727422
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
909 FULTON ST SE
MINNEAPOLIS, MN 554554800
6126727422
Source: CMS National Downloadable File, September 2026.