Graduated: 2003
NPI: 1750469219
Practice Locations (5)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
TRIA ORTHOPAEDIC CENTER LLC
8100 NORTHLAND DR
BLOOMINGTON, MN 554314800
9528318742
PARK NICOLLET CLINIC
15301 GROVE CIR N
MAPLE GROVE, MN 553694475
9529935900
TRIA ORTHOPAEDIC CENTER LLC
15315 GROVE CIR N
MAPLE GROVE, MN 553694475
9528318742
PARK NICOLLET CLINIC
15800 95TH AVE N
MAPLE GROVE, MN 553694400
9529931440
Source: CMS National Downloadable File, September 2026.