Graduated: 2011
NPI: 1487943684
Practice Locations (6)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
GROUP HEALTH PLAN INC
295 PHALEN BLVD
SAINT PAUL, MN 551302400
6514956200
GROUP HEALTH PLAN INC
640 JACKSON ST
SAINT PAUL, MN 551012502
6512213456
PARK NICOLLET CLINIC
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 554265000
9529933123
PARK NICOLLET CLINIC
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 554264702
9529933123
Source: CMS National Downloadable File, September 2026.