Graduated: 2013
NPI: 1205277571
Practice Locations (5)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
TRIA ORTHOPAEDIC CENTER LLC
8100 NORTHLAND DR
BLOOMINGTON, MN 554314800
9528318742
PARK NICOLLET CLINIC
14000 FAIRVIEW DR
BURNSVILLE, MN 553375713
9529938700
PARK NICOLLET CLINIC
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 554265000
9529933123
TRIA ORTHOPAEDIC CENTER LLC
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 554264702
Source: CMS National Downloadable File, September 2026.