Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1083665913
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
12142 BUSINESS PARK BLVD N
CHAMPLIN, MN 553164525
9529770500
PARK NICOLLET CLINIC
15800 95TH AVE N
MAPLE GROVE, MN 553694400
9529931440
Source: CMS National Downloadable File, September 2026.