Graduated: 2012
NPI: 1093065013
Practice Locations (4)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
6000 EARLE BROWN DR
BROOKLYN CENTER, MN 554302506
9529934900
PARK NICOLLET CLINIC
15800 95TH AVE N
MAPLE GROVE, MN 553694400
9529931440
PARK NICOLLET CLINIC
4155 COUNTY RD 101
PLYMOUTH, MN 554462307
9529938900
Source: CMS National Downloadable File, September 2026.