Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1997
Offers telehealth
NPI: 1023095775
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
4670 PARK NICOLLET AVE SE
PRIOR LAKE, MN 553724119
9529937750
PARK NICOLLET CLINIC
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 553793374
9529937750
Source: CMS National Downloadable File, September 2026.