Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2005
NPI: 1023067204
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 553793374
9529937750
PARK NICOLLET CLINIC
1515 SAINT FRANCIS AVE
SHAKOPEE, MN 553793387
9529937750
Source: CMS National Downloadable File, September 2026.