Graduated: 2022
NPI: 1235840471
Practice Locations (4)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
REHABILITATION MEDICINE ASSOCIATES LLC
464 2ND ST, SUITE 204
EXCELSIOR, MN 553312015
6127878408
GROUP HEALTH PLAN INC
2831 SNELLING N AVE
ROSEVILLE, MN 551132460
6516364525
Source: CMS National Downloadable File, September 2026.