Graduated: 2018
NPI: 1285117697
Practice Locations (4)
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
15301 GROVE CIR N
MAPLE GROVE, MN 553694475
9529935900
TRIA ORTHOPAEDIC CENTER LLC
15315 GROVE CIR N
MAPLE GROVE, MN 553694475
9528318742
Source: CMS National Downloadable File, September 2026.