Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2015
NPI: 1619361045
Practice Locations (4)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 553793374
9529937750
PARK NICOLLET CLINIC
1515 SAINT FRANCIS AVE
SHAKOPEE, MN 553793387
9529937750
PARK NICOLLET CLINIC
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 554265000
9529933123
Source: CMS National Downloadable File, September 2026.