Graduated: 2002
NPI: 1629039821
Practice Locations (3)
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE, SL 350
MINNEAPOLIS, MN 554151623
HENNEPIN HEALTHCARE SYSTEM INC
790 W 66TH ST
RICHFIELD, MN 554232203
6128736963
Source: CMS National Downloadable File, September 2026.