Graduated: 2024
NPI: 1952115792
Practice Locations (2)
ALLINA HEALTH SYSTEM
11850 BLACKFOOT ST NW, SUITE 490
COON RAPIDS, MN 554332773
6128717278
MINNESOTA ORAL AND FACIAL SURGERY PLLC
2380 TROOP DR, UNIT 202
SARTELL, MN 563774637
3202579555
Source: CMS National Downloadable File, September 2026.