Graduated: 2005
Also: GERIATRIC MEDICINE
NPI: 1871866095
Practice Locations (2)
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
PARK NICOLLET CLINIC
1885 PLAZA DR
EAGAN, MN 551222979
9529934001
Source: CMS National Downloadable File, September 2026.