Graduated: 1991
NPI: 1790798155
Practice Locations (2)
FAIRVIEW EXPRESS CARE
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
FAIRVIEW EXPRESS CARE
717 DELAWARE ST SE, SUITE 340
MINNEAPOLIS, MN 554142959
6126727422
Source: CMS National Downloadable File, September 2026.