Graduated: 2009
NPI: 1689902132
Practice Locations (2)
FAIRVIEW HEALTH SERVICES
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
6122733000
THE ASSOCIATION OF UNIVERSITY PHYSICIANS
1959 NE PACIFIC ST
SEATTLE, WA 981950001
2065984333
Source: CMS National Downloadable File, September 2026.