Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2002
Offers telehealth
NPI: 1366420804
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
6000 EARLE BROWN DR
BROOKLYN CENTER, MN 554302506
9529934900
PARK NICOLLET CLINIC
14000 FAIRVIEW DR
BURNSVILLE, MN 553375713
9529938700
Source: CMS National Downloadable File, September 2026.