Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2010
NPI: 1417274812
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
Source: CMS National Downloadable File, September 2026.