Graduated: 2000
NPI: 1689655722
Practice Locations (3)
ACTIVE FEET, FOOT AND ANKLE HEALTH CENTER
6625 LYNDALE AVE S, SUITE 105
RICHFIELD, MN 554232673
6127888778
IN HOUSE SENIOR SERVICES LLC
6625 LYNDALE S AVE, SUITE 105
RICHFIELD, MN 55423
6127888778
IN HOUSE SENIOR SERVICES LLC
674 290TH ST
WILSON, WI 540272452
6122438999
Source: CMS National Downloadable File, September 2026.