Graduated: 1989
NPI: 1982648051
Practice Locations (5)
LIFE MEDICAL PA
4201 EXCELSIOR BLVD
MINNEAPOLIS, MN 554164728
LIFE MEDICAL PA
4201 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 554164728
9529338900
LIFE MEDICAL PA
225 UNIVERSITY AVE W, SUITE 122
SAINT PAUL, MN 551033905
6515286169
LIFE MEDICAL PA
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 554164728
MINNESOTA MEDICAL AND REHABILITATIVE SERVICES LLC
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 554164728
9525643880
Source: CMS National Downloadable File, September 2026.