Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1995
Offers telehealth
NPI: 1225065279
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
GROUP HEALTH PLAN INC
435 PHALEN BLVD
SAINT PAUL, MN 551305302
6512912848
Source: CMS National Downloadable File, September 2026.