Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1811975956
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
1515 SAINT FRANCIS AVE
SHAKOPEE, MN 553793387
9529937750
Source: CMS National Downloadable File, September 2026.