Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2004
NPI: 1235321431
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
4155 COUNTY RD 101
PLYMOUTH, MN 554462307
9529938900
Source: CMS National Downloadable File, September 2026.