Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2021
NPI: 1467034256
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
1885 PLAZA DR
EAGAN, MN 551222979
9529934001
Source: CMS National Downloadable File, September 2026.