Graduated: 2003
NPI: 1609853415
Practice Locations (2)
ALLINA HEALTH SYSTEM
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
6128634000
SSM HEALTH CARE OF WISCONSIN INC
700 S PARK ST
MADISON, WI 537151830
6082516100
Source: CMS National Downloadable File, September 2026.