Graduated: 2015
NPI: 1700243243
Practice Locations (2)
TWIN CITIES PHYSICIANS PROFESSIONAL CORPORATION
1415 LILAC DR N, SUITE 190
GOLDEN VALLEY, MN 554224544
7632678701
LEGACY MEDICAL LLC
4195 WESTBERG RD, APT 436
HERMANTOWN, MN 558113888
7015164637
Source: CMS National Downloadable File, September 2026.