Graduated: 2018
NPI: 1780189407
Practice Locations (2)
ALLINA HEALTH SYSTEM
100 STATE AVE
FARIBAULT, MN 550216337
5073343921
ALLINA HEALTH SYSTEM
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
6512627633
Source: CMS National Downloadable File, September 2026.