Graduated: 1996
NPI: 1790868925
Practice Locations (2)
FAIRVIEW EXPRESS CARE
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
6126727422
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
909 FULTON ST SE
MINNEAPOLIS, MN 554554800
6126727422
Source: CMS National Downloadable File, September 2026.