Graduated: 2004
NPI: 1093737470
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
300 LAKE DR E
CHANHASSEN, MN 553179302
9529934300
PARK NICOLLET CLINIC
4155 COUNTY RD 101
PLYMOUTH, MN 554462307
9529938900
Source: CMS National Downloadable File, September 2026.