Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1104053198
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
15800 95TH AVE N
MAPLE GROVE, MN 553694400
9529931440
INFINITE HEALTH COLLABORATIVE, PA
9630 GROVE CIR N, SUITE 200
MAPLE GROVE, MN 553693492
7635207870
Source: CMS National Downloadable File, September 2026.