Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2001
NPI: 1598754335
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
GLENCOE REGIONAL HEALTH SERVICES
1805 HENNEPIN AVE N
GLENCOE, MN 553361416
3208643121
Source: CMS National Downloadable File, September 2026.