Graduated: 2025
NPI: 1609657832
Practice Locations (3)
400 E 10TH ST
WACONIA, MN 553874552
601 CHILDRE'S LN
NORFOLK, VA 235071910
811 REDGATE AVE
NORFOLK, VA 235071515
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2025
NPI: 1609657832
400 E 10TH ST
WACONIA, MN 553874552
601 CHILDRE'S LN
NORFOLK, VA 235071910
811 REDGATE AVE
NORFOLK, VA 235071515
Source: CMS National Downloadable File, September 2026.