Graduated: 2004
Also: INTERNAL MEDICINE
NPI: 1336672930
Practice Locations (2)
TRIA ORTHOPAEDIC CENTER LLC
8100 NORTHLAND DR
BLOOMINGTON, MN 554314800
9528318742
PARK NICOLLET CLINIC
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 554265000
9529933123
Source: CMS National Downloadable File, September 2026.