Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1996
NPI: 1467435909
Practice Locations (4)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
TRIA ORTHOPAEDIC CENTER LLC
8100 NORTHLAND DR
BLOOMINGTON, MN 554314800
9528318742
PARK NICOLLET CLINIC
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 554265000
9529933123
TRIA ORTHOPAEDIC CENTER LLC
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 554264702
Source: CMS National Downloadable File, September 2026.