Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2000
NPI: 1134107923
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
300 LAKE DR E
CHANHASSEN, MN 553179302
9529934300
PARK NICOLLET CLINIC
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 554264702
9529933123
Source: CMS National Downloadable File, September 2026.