Graduated: 2015
NPI: 1730651316
Practice Locations (4)
11000 OPTUM CIR
EDEN PRAIRIE, MN 553442503
11280 86TH AVE N
MAPLE GROVE, MN 553694510
1295 BANDANA BLVD N, SUITE 210
SAINT PAUL, MN 551085115
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.