Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1999
NPI: 1760467856
Practice Locations (3)
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
14000 FAIRVIEW DR
BURNSVILLE, MN 553375713
9529938700
Source: CMS National Downloadable File, September 2026.