Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1730167610
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
14000 FAIRVIEW DR
BURNSVILLE, MN 553375713
9529938700
Source: CMS National Downloadable File, September 2026.