Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1996
Offers telehealth
NPI: 1780661629
Practice Locations (5)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
300 LAKE DR E
CHANHASSEN, MN 553179302
9529934300
PARK NICOLLET CLINIC
15111 TWELVE OAKS CTR DR
MINNETONKA, MN 553055201
9529934500
PARK NICOLLET CLINIC
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 553793374
9529937750
PARK NICOLLET CLINIC
250 CENTRAL AVE N
WAYZATA, MN 553911206
9529933123
Source: CMS National Downloadable File, September 2026.