Graduated: 1986
NPI: 1659488591
Practice Locations (2)
FAIRVIEW EXPRESS CARE
12000 ELM CREEK BLVD N, SUITE 120
MAPLE GROVE, MN 553697074
7634209960
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
Source: CMS National Downloadable File, September 2026.