Graduated: 2002
NPI: 1760245112
Practice Locations (2)
FAIRVIEW HEALTH SERVICES
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
6122737838
FAIRVIEW EXPRESS CARE
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
8553247843
Source: CMS National Downloadable File, September 2026.