Graduated: 2020
NPI: 1962026286
Practice Locations (2)
VITREO RETINAL SURGERY PLLC
3601 W 76TH ST, SUITE 300
MINNEAPOLIS, MN 554353004
9529291131
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
Source: CMS National Downloadable File, September 2026.