Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 2003
Also: FAMILY PRACTICE
NPI: 1922017623
Practice Locations (2)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
15800 95TH AVE N
MAPLE GROVE, MN 553694400
9529931440
Source: CMS National Downloadable File, September 2026.