Graduated: 2018
NPI: 1144714551
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
TRIA ORTHOPAEDIC CENTER LLC
8100 NORTHLAND DR
BLOOMINGTON, MN 554314800
9528318742
TRIA ORTHOPAEDIC CENTER LLC
3741 LOUISIANA AVE S
ST LOUIS PARK, MN 554264361
9529935000
Source: CMS National Downloadable File, September 2026.