Graduated: 2003
NPI: 1205953841
Practice Locations (3)
TRIA ORTHOPAEDIC CENTER LLC
3800 AMERICAN BLVD W, SUITE 200
BLOOMINGTON, MN 554314420
9528318742
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 554265000
9529933123
Source: CMS National Downloadable File, September 2026.