Graduated: 2015
NPI: 1780038299
Practice Locations (2)
FAIRVIEW EXPRESS CARE
14500 99TH AVE N, SUITE 1 210
MAPLE GROVE, MN 553694730
7638981778
FAIRVIEW SPECIALTY SERVICES
5200 FAIRVIEW BLVD
WYOMING, MN 550928013
6519827000
Source: CMS National Downloadable File, September 2026.