Graduated: 1997
NPI: 1831162551
Practice Locations (3)
1614 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
PO BOX
MINNEAPOLIS, MN 55486
1939 MINNEHAHA AVE W, SUITE 300
SAINT PAUL, MN 551041033
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 1997
NPI: 1831162551
1614 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
PO BOX
MINNEAPOLIS, MN 55486
1939 MINNEHAHA AVE W, SUITE 300
SAINT PAUL, MN 551041033
Source: CMS National Downloadable File, September 2026.