Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2005
Offers telehealth
NPI: 1013182005
Practice Locations (5)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
300 LAKE DR E
CHANHASSEN, MN 553179302
9529934300
PARK NICOLLET CLINIC
15111 TWELVE OAKS CTR DR
MINNETONKA, MN 553055201
9529934500
PARK NICOLLET CLINIC
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 554264702
9529933123
PARK NICOLLET CLINIC
250 CENTRAL AVE N
WAYZATA, MN 553911206
9529933123
Source: CMS National Downloadable File, September 2026.