Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 2004
Offers telehealth
NPI: 1336196237
Practice Locations (1)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
Source: CMS National Downloadable File, September 2026.