Graduated: 2023
NPI: 1740983741
Practice Locations (2)
ALLINA HEALTH SYSTEM
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 554335841
7637809155
FAIRVIEW EXPRESS CARE
6341 UNIVERSITY AVE NE
FRIDLEY, MN 554324946
7635725700
Source: CMS National Downloadable File, September 2026.