Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2020
NPI: 1891315636
Practice Locations (5)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
PARK NICOLLET CLINIC
8401 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 554274486
9529938300
PARK NICOLLET CLINIC
15800 95TH AVE N
MAPLE GROVE, MN 553694400
9529931440
GROUP HEALTH PLAN INC
2831 SNELLING N AVE
ROSEVILLE, MN 551132460
6516364525
Source: CMS National Downloadable File, September 2026.