Graduated: 2020
Offers telehealth
NPI: 1144857673
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
250 CENTRAL AVE N
WAYZATA, MN 553911206
9529933123
Source: CMS National Downloadable File, September 2026.