Graduated: 2024
NPI: 1982470647
Practice Locations (2)
ALLINA HEALTH SYSTEM
11850 BLACKFOOT ST NW, SUITE 405
COON RAPIDS, MN 554332773
6127756200
ALLINA HEALTH SYSTEM
280 SMITH AVE N, SUITE 220
ST PAUL, MN 551022459
6512418295
Source: CMS National Downloadable File, September 2026.