Graduated: 2013
NPI: 1568892198
Practice Locations (2)
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
CONSULTATIVE HEALTH AND MEDICINE PA
5520 RIDGEWOOD CV
MINNETRISTA, MN 553648239
80087305611
Source: CMS National Downloadable File, September 2026.