Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2005
NPI: 1427103290
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
3525 MONTEREY DR
ST LOUIS PARK, MN 554165275
9529931990
Source: CMS National Downloadable File, September 2026.