Graduated: 2024
NPI: 1568205193
Practice Locations (2)
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
GROUP HEALTH PLAN INC
295 PHALEN BLVD
SAINT PAUL, MN 551302400
6514956200
Source: CMS National Downloadable File, September 2026.