Graduated: 2019
NPI: 1902461601
Practice Locations (2)
FAIRVIEW EXPRESS CARE
500 HARVARD ST SE
MINNEAPOLIS, MN 554550363
6126727422
HENNEPIN HEALTHCARE SYSTEM INC
715 S 8TH ST
MINNEAPOLIS, MN 554047530
6128736963
Source: CMS National Downloadable File, September 2026.