Graduated: 2018
NPI: 1073074472
Practice Locations (4)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
TRIA ORTHOPAEDIC CENTER LLC
8100 NORTHLAND DR
BLOOMINGTON, MN 554314800
9528318742
PARK NICOLLET CLINIC
14000 FAIRVIEW DR
BURNSVILLE, MN 553375713
9529938700
TRIA ORTHOPAEDIC CENTER LLC
155 RADIO DR
WOODBURY, MN 551252619
9528318742
Source: CMS National Downloadable File, September 2026.