Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2020
NPI: 1588291504
Practice Locations (9)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
PARK NICOLLET CLINIC
14000 FAIRVIEW DR
BURNSVILLE, MN 553375713
9529938700
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
GROUP HEALTH PLAN INC
401 PHALEN BLVD
SAINT PAUL, MN 551305302
6512547400
GROUP HEALTH PLAN INC
435 PHALEN BLVD
SAINT PAUL, MN 551305302
6512912848
PARK NICOLLET CLINIC
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 554162527
9529933123
PARK NICOLLET CLINIC
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 554162527
9529933123
PARK NICOLLET CLINIC
250 CENTRAL AVE N
WAYZATA, MN 553911206
9529933123
Source: CMS National Downloadable File, September 2026.