Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1984
NPI: 1861479735
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
2001 BLAISDELL AVE
MINNEAPOLIS, MN 554042414
9529938000
PARK NICOLLET CLINIC
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 554264702
9529933123
Source: CMS National Downloadable File, September 2026.