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Please print and complete the appropriate Health History Forms required by your doctor, and bring the completed paperwork with you to your appointment.
Adult Neurology
Ingrid Abols, M.D.
Rajiv Aggarwal, M.D.
Janiece Aldinger, M.D.
Irfan M. Altafullah, M.D.
Elias Bazakos, M.D.
Sarah M. Benish, M.D.
Ivan L. Brodsky, M.D.
Xiaoming Dong, M.D., M.Sc.
Gail Francis, M.D.
Masood R. Ghazali, M.D.
Jessica O. Heiring, M.D.
Charles H. Horowitz, M.D.
Jack E. Hubbard, Ph.D., M.D.
Bruce I. Idelkope, M.D.
Allan P. Ingenito, M.D
Moeen A. Masood, M.D.
Thomas L. Murphy, M.D.
Sotirios A. Parashos, M.D., Ph.D.
Richard A. Peterson, M.D.
Daniel C. Randa, M.D.
Joanne B. Rogin, M.D.
Leland J.C. Scott, M.D., Ph.D.
Steven D. Stein, M.D.
John E. Trusheim, M.D.
Yelena V. Usmanova, M.D., M.Sc.
Alexander Y. Zubkov, M.D., Ph.D.
Felix Zwiebel, M.D.
Pediatric Neurology
Donald J. Chadwick, M.D.
Armantina M. Espinosa, M.D.
Allan P. Ingenito, M.D.
Rehabilitation Services
Rehabilitation
Neurodiagnostic Testing Forms
MRI Medical History Questionairre
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GOLDEN VALLEY / MAIN OFFICE
4225 Golden Valley Road, Golden Valley, MN 55422
(763) 588-0661
BURNSVILLE
Oak Ridge East Professional Building
675 E. Nicollet Boulevard, Suite 100, Burnsville, MN 55337
(952) 435-8516 (Neurology services)
(952) 898-5000 (Rehab services)
COON RAPIDS
3833 Coon Rapids Blvd., Suite 100, Coon Rapids, MN 55433
(763) 427-8320
EDINA
Southdale Place
3400 West 66th St, Suite 150, Edina, MN 55435
(952) 920-7200 (Neurology services)
(952) 920-8088 (Rehab services)
MAPLE GROVE
North Memorial Medical Office
9825 Hospital Drive, Suite 103, Maple Grove, MN 55369
(763) 302-4114
OUTREACH LOCATIONS
Twin Cities Metro, Greater Minnesota & Western Wisconsin
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